Brott, Leslie M.

Brott, Leslie M. is an individual health care provider with primary practice located at 2435 Ne Cumulus Ave Ste A , Mcminnville OR 97128-8805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brott, Leslie M. can be contacted via phone (503) 472-6161.

Contact Information

Primary practice address
2435 Ne Cumulus Ave Ste A Mcminnville OR 97128-8805
Fax: (503) 434-6290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23805 Oregon

Profile Details

NPI number 1730184391
LBN Legal business name Brott, Leslie M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Oct 20th, 2023 - about 3 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 1730184391 NPPES
Oregon MEDICAID 226936

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