Leverette, Roger Barr

Leverette, Roger Barr is an individual health care provider with primary practice located at 15950 Sw Millikan Way , Beaverton OR 97006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leverette, Roger Barr can be contacted via phone (503) 646-0161.

Contact Information

Primary practice address
15950 Sw Millikan Way Beaverton OR 97006
Phone: (503) 646-0161
Fax: (503) 643-7459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15743 Oregon

Profile Details

NPI number 1700925054
LBN Legal business name Leverette, Roger Barr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 19th, 2012 - about 12 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 1700925054 NPPES
Oregon MEDICAID 008875

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