Individual
LESLIE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CRM
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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