Leslie Diane Gregory in Portland - Physician Assistant
Leslie Diane Gregory - NPI 1689632457
Leslie Diane Gregory is a Physician Assistant in Portland, Oregon. Leslie Diane Gregory practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leslie Diane Gregory is 1689632457. The last update date is 2010-09-13.
Leslie Diane Gregory's current location address is 8332 Se 13th Ave, Portland, Oregon. You can contact this provider via phone number 5035959300 and fax number 5035959301. The mailing address for Leslie Diane Gregory is 8332 Se 13th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leslie Diane Gregory |
---|---|
Address | 8332 Se 13th Ave, Portland, Oregon |
Phone Number | 5035959300 |
Fax Number | 5035959301 |
Sole Proprietor | N |
Credentials | P.A.C |
NPI Number Detail
NPI Number | 1689632457 |
---|---|
Provider Enumeration Date | 2006-05-02 |
Last Updated Date | 2010-09-13 |
Provider Mailing Address Detail
Address | 8332 Se 13th Ave |
---|---|
City | Portland |
State | Oregon (OR) |
Post Code | 972027102 |
Phone Number | 5035959300 |
Fax Number | 5035959301 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | PA00823 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
268490 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Leslie Diane Gregory by the Centers for Medicare & Medicaid Services?
The Leslie Diane Gregory has been issued the NPI (National Provider Identifier) 1689632457. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Leslie Diane Gregory's facilities are situated?
The facilities of Leslie Diane Gregory are physically located at the following address: 8332 Se 13Th Ave, Portland, OR, 972027102.
What is Leslie Diane Gregory's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leslie Diane Gregory's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Leslie Diane Gregory receive its 1689632457 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Diane Gregory was assigned its 1689632457 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Leslie Diane Gregory, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leslie Diane Gregory, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-13.