Marshall, Leon Bruce

Marshall, Leon Bruce is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Marshall, Leon Bruce can be contacted via phone (503) 488-2424.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 420 Portland OR 97210-3057
Phone: (503) 488-2424
Fax: (503) 229-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101010950 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO29055 Oregon

Profile Details

NPI number 1487703450
LBN Legal business name Marshall, Leon Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 24th, 2013 - 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 1487703450 NPPES
Other P00141408 PALMETTO
MEDICAID 500628636 PALMETTO
MEDICAID 1587703450 PALMETTO
MEDICAID 4507651 PALMETTO

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