Root, Leslie L

Root, Leslie L is an individual health care provider with primary practice located at 501 N Graham St Ste 100, Portland OR 97227-1654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Root, Leslie L can be contacted via phone (503) 249-5780.

Contact Information

Primary practice address
501 N Graham St Ste 100 Portland OR 97227-1654
Phone: (503) 249-5780
Fax: (503) 249-5788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19668 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD19668 Oregon

Profile Details

NPI number 1831167907
LBN Legal business name Root, Leslie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 17th, 2017 - 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 1831167907 NPPES
Oregon MEDICAID 129949

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