Individual
LESLIE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1282 GOODPASTURE ISLAND RD, EUGENE, OR 97401-1774
(541) 246-2828
Mailing address
3330 SE THREE MILE LN, MCMINNVILLE, OR 97128-6232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9837
OR
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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