Individual
DR. JEREMIAH LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5440 SW WESTGATE DR STE 165, PORTLAND, OR 97221-2421
(503) 297-1471
Mailing address
10535 NE GLISAN ST STE 301, PORTLAND, OR 97220-4077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9576
OR
Other
Enumeration date
04/19/2011
Last updated
03/17/2018
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