Colburn, Leon Quinton

Colburn, Leon Quinton is an individual health care provider with primary practice located at 10000 Se Main St Suite 365, Portland OR 97216-2448. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Colburn, Leon Quinton can be contacted via phone (503) 261-4430.

Contact Information

Primary practice address
10000 Se Main St Suite 365 Portland OR 97216-2448
Phone: (503) 261-4430
Fax: (503) 261-4436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00171 Oregon

Profile Details

NPI number 1578565339
LBN Legal business name Colburn, Leon Quinton
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 3rd, 2013 - about 13 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 1578565339 NPPES
Oregon MEDICAID 500602877

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