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Organization

COLUMBIA PACIFIC UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID PAIGE LEIBEL DO (OWNER OFFICER)
(503) 325-7888
Entity
Organization

Contact information

Practice address
2120 EXCHANGE ST STE 102, ASTORIA, OR 97103-3366
(503) 325-7888
Mailing address
2120 EXCHANGE ST STE 102, ASTORIA, OR 97103-3366
(503) 325-7888

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2088P0231X
Pediatric Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079116
OR
Enumeration date
01/05/2007
Last updated
09/11/2025
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