Individual
LOREEN G LEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201150107NP
OR
363LF0000X
Family Nurse Practitioner
Primary
N361205317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639485
—
OR
Enumeration date
09/27/2011
Last updated
11/07/2021
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