Individual
DR. ANDREW JOSEPH LEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, L457, PORTLAND, OR 97239-3011
(503) 494-7735
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD167218
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2009
Last updated
02/04/2022
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