Leonard, Deanne

Leonard, Deanne is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 203 , Corvallis OR 97330. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Leonard, Deanne can be contacted via phone (541) 768-6930.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 203 Corvallis OR 97330
Phone: (541) 768-6930
Fax: (541) 768-6931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD183119 Oregon

Profile Details

NPI number 1982942496
LBN Legal business name Leonard, Deanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jul 11th, 2018 - about 7 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 1982942496 NPPES
Oregon MEDICAID 500728666

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