Individual
DANIEL J LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4400 NE HALSEY ST BLDG 23, PORTLAND, OR 97213-1545
(855) 229-6460
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(855) 229-6460
(503) 893-6847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
019896
AK
363LF0000X
Family Nurse Practitioner
Primary
087000017N1 FNP-PP
OR
363LF0000X
Family Nurse Practitioner
102386
MT
363LF0000X
Family Nurse Practitioner
60532967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118286
—
OR
01
—
831550001
BCBS
OR
01
—
931176109
COMMERCIAL
OR
Enumeration date
01/03/2007
Last updated
05/24/2021
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