Leedy, Daniel Allan

Leedy, Daniel Allan is an individual health care provider with primary practice located at 1508 Division St Suite 115, Oregon City OR 97045-1582. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Leedy, Daniel Allan can be contacted via phone (503) 656-0601.

Contact Information

Primary practice address
1508 Division St Suite 115 Oregon City OR 97045-1582
Phone: (503) 656-0601
Fax: (503) 656-1389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD17211 Oregon
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD17211 Oregon

Profile Details

NPI number 1407928112
LBN Legal business name Leedy, Daniel Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407928112 NPPES
Washington MEDICAID 2038807
Washington MEDICAID 084509

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