Individual
MS. KRISTY ROSE LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 997-5260
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
201407174RN
OR
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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