Individual
INDIA LEA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
9135 SW BARNES RD, PORTLAND, OR 97225-6646
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201403676RN
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
202211486NP-PP
OR
Other
Enumeration date
08/04/2022
Last updated
11/14/2022
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