Individual
LESLIE A SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3051
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1099
OR
Other
Enumeration date
09/05/2006
Last updated
07/13/2007
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