Cody, Leslie

Cody, Leslie is an individual health care provider with primary practice located at 11481 Sw Hall Blvd Ste 200 , Tigard OR 97223-8403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cody, Leslie can be contacted via phone (503) 980-4334.

Contact Information

Primary practice address
11481 Sw Hall Blvd Ste 200 Tigard OR 97223-8403
Fax: (971) 200-2431
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200650146NP Oregon

Profile Details

NPI number 1114008935
LBN Legal business name Cody, Leslie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 28th, 2026 - about 6 months 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 1114008935 NPPES
Oregon MEDICAID 212979

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