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Individual

DR. PETER E. LEITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
522 NW 12TH AVE, PORTLAND, OR 97209-3001
(503) 227-2886
(503) 790-1004
Mailing address
522 NW 12TH AVE, PORTLAND, OR 97209-3001
(503) 227-2886
(503) 790-1004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272421
OR

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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