Individual
DR. JASON LENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A102954
CA
207W00000X
Ophthalmology Physician
Primary
MD60178742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1574238
—
AK
05
—
1730396326
—
ID
05
—
1730396326
—
MT
05
—
1730396326
—
OR
05
—
2011613
—
WA
05
—
78033373
—
NM
Enumeration date
05/16/2007
Last updated
11/04/2020
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