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Individual

JASON R LEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
(503) 413-7361
Mailing address
1015 NW 22ND AVE, R 200, PORTLAND, OR 97210-3025
(503) 413-8407
(503) 413-7361

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO26699
OR

Other

Enumeration date
07/19/2006
Last updated
02/04/2022
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