Individual
WILLLIAM LEONARD DEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7419 NW CORNELL RD, PORTLAND, OR 97229-6901
(503) 296-0171
Mailing address
7419 NW CORNELL RD, PORTLAND, OR 97229-6901
(503) 296-0171
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD11726
OR
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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