Root, Leslie L
Root, Leslie L is an individual health care provider with primary practice located at 501 N Graham St Ste 100, Portland OR 97227-1654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Root, Leslie L can be contacted via phone (503) 249-5780.Contact Information
Primary practice address
501 N Graham St Ste 100
Portland OR 97227-1654
Phone: (503) 249-5780
Fax: (503) 249-5788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19668 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD19668 | Oregon |
Profile Details
| NPI number | 1831167907 |
|---|---|
| LBN Legal business name | Root, Leslie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 17th, 2017 - about 9 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 | 1831167907 | NPPES |
| Oregon | MEDICAID | 129949 |
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