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LESLIE WEST FNP

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780855601

Individual Registrant:
 LESLIE  WEST FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
51730 DEXTER ST.  BLUE RIVER, OR 97413-0183 US
Tel: 541-822-3341  Fax: 541-822-3836

Contact information for business:
PO BOX 183  BLUE RIVER, OR 97413-0183 US
Tel: 541-822-3341  Fax: 541-822-3836

Registration Information:
NPI: 1780855601
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
OR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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