Swanstrom, Lee Leray

Swanstrom, Lee Leray is an individual health care provider with primary practice located at 4805 Ne Glisan St Suite 6N60, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Swanstrom, Lee Leray can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Suite 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD14155 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00037237 Washington

Profile Details

NPI number 1952394017
LBN Legal business name Swanstrom, Lee Leray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 19th, 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 1952394017 NPPES
Washington MEDICAID 1051028
Washington MEDICAID 198291

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