Bender, Leila Clark

Bender, Leila Clark is an individual health care provider with primary practice located at 938 Nw Kings Blvd , Corvallis OR 97330-2505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Bender, Leila Clark can be contacted via phone (541) 758-5047.

Contact Information

Primary practice address
938 Nw Kings Blvd Corvallis OR 97330-2505
Phone: (541) 758-5047
Fax: (541) 758-3713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD60027940 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60027940 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD201700 Oregon

Profile Details

NPI number 1619061165
LBN Legal business name Bender, Leila Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619061165 NPPES
Washington Other 0293142 L&I
Washington MEDICAID 500674855 L&I
Washington Other 322487 L&I
Washington MEDICAID 2017309 L&I
Washington Other 319557 L&I
Washington Other 322488 L&I

Popular Providers