Individual
LEIGH C DOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 NE 47TH AVE, SUITE 106, PORTLAND, OR 97213-2238
(503) 215-9700
(503) 215-9701
Mailing address
PO BOX 13994, PORTLAND, OR 97213-0994
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10912
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110191630
RR MEDICARE
OR
Enumeration date
07/11/2006
Last updated
06/02/2008
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