Individual
DAVINA R. LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1829 NE ALBERTA ST, SUITE A, PORTLAND, OR 97211-5879
(503) 367-0844
Mailing address
4855 NE GRAND AVE, PORTLAND, OR 97211-3973
(503) 367-0844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L.M.T. #7102
OR
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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