Individual
DR. DEANNE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3615 NW SAMARITAN DR STE 203, CORVALLIS, OR 97330
(541) 768-6930
(541) 768-6931
Mailing address
3615 NW SAMARITAN DR STE 203, CORVALLIS, OR 97330-3771
(541) 768-6930
(541) 768-6931
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD183119
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500728666
—
OR
Enumeration date
01/18/2013
Last updated
07/11/2018
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