JERRY WAYNE LEONARD

PORTLAND, OR
NPI1578678983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  OR5193)
Enumeration Date2006-08-19
Last Update Date2023-02-22
Business Address
Dr. JERRY WAYNE LEONARD D.MD.
2614 NE 22ND AVE
PORTLAND, OR 97212-4816
Phone number: 503-284-8114
Mailing Address
Dr. JERRY WAYNE LEONARD D.MD.
2614 NE 22ND AVE
PORTLAND, OR 97212-4816
Phone number: 503-284-8114
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