JERRY WAYNE LEONARD, JR.

PORTLAND, OR
NPI1548338684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7672)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Dr. JERRY WAYNE LEONARD, JR. D.M.D.
5329 NE M L KING BLVD
PORTLAND, OR 97211-3237
Phone number: 503-988-3664
Mailing Address
Dr. JERRY WAYNE LEONARD, JR. D.M.D.
25796 SW CANYON CREEK RD APT D304
WILSONVILLE, OR 97070-9659
Phone number: 503-682-5612