Abbott, Leslie C
Abbott, Leslie C is an individual health care provider with primary practice located at 1813 W Harvard Ave Ste 233 , Roseburg OR 97471-8704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Leslie C can be contacted via phone (541) 391-7506.Contact Information
Primary practice address
1813 W Harvard Ave Ste 233
Roseburg OR 97471-8704
Phone: (541) 391-7506
Fax: (541) 391-7503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201394254NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201394254NP PP | Oregon |
Profile Details
| NPI number | 1700217064 |
|---|---|
| LBN Legal business name | Abbott, Leslie C |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2013 |
| Last updated | Jan 9th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700217064 | NPPES |
| Oregon | MEDICAID | 50066907 |
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