Leitenberger, Justin John

Leitenberger, Justin John is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Ch16D, Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Leitenberger, Justin John can be contacted via phone (503) 494-8211.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Ch16D Portland OR 97239-3011
Phone: (503) 494-8211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X BP10032351 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD157327 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Oregon
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD157327 Oregon

Profile Details

NPI number 1508027616
LBN Legal business name Leitenberger, Justin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Feb 15th, 2022 - about 3 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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