Disher, Leslie

Disher, Leslie is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Disher, Leslie can be contacted via phone (360) 254-1240.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Fax: (360) 397-3128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OP00002221 Washington

Profile Details

NPI number 1194936609
LBN Legal business name Disher, Leslie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Nov 15th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194936609 NPPES
Washington MEDICAID 8482457

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