Individual
JOSHUA R LEIBOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 475-2844
Mailing address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 475-2844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD21268
OR
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD21268
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132088
—
OR
01
—
P01328167
RR MEDICARE - PROVIDENCE
OR
Enumeration date
07/25/2006
Last updated
01/16/2024
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