Mcallister, Leslie Davis
Mcallister, Leslie Davis is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mcallister, Leslie Davis can be contacted via phone (503) 488-2424.Contact Information
Primary practice address
1040 Nw 22Nd Ave Suite 420
Portland OR 97210-3057
Phone: (503) 488-2424
Fax: (503) 229-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD20436 | Oregon |
Profile Details
| NPI number | 1407848831 |
|---|---|
| LBN Legal business name | Mcallister, Leslie Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | May 14th, 2009 - about 17 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 | 1407848831 | NPPES |
| Oregon | MEDICAID | 134160 | |
| Oregon | MEDICAID | 8245540 |
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