Pelinka, Leslie Rae

Pelinka, Leslie Rae is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pelinka, Leslie Rae can be contacted via phone (541) 222-8500.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477-8803
Fax: (541) 222-6435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A83842 California

Profile Details

NPI number 1275643645
LBN Legal business name Pelinka, Leslie Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 16th, 2013 - about 11 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 1275643645 NPPES
Oregon MEDICAID 274316
Oregon MEDICAID 00A838420

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