Individual
DR. MARIA C. LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 691-3615
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 418-4500
(503) 494-1678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 25402
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022879
—
OR
Enumeration date
11/10/2005
Last updated
03/19/2021
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