KRISTINA MICHELLE LEIDICH

PORTLAND, OR
NPI1619517406
Professional NameKRISTINA MICHELLE LEIDICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  201911095NP-PP)
Enumeration Date2020-01-09
Last Update Date2025-09-23
Business Address
KRISTINA MICHELLE LEIDICH FNP
124 NE 181ST AVE STE 103
PORTLAND, OR 97230-6565
Phone number: 503-489-1760
Mailing Address
KRISTINA MICHELLE LEIDICH FNP
18738 SE GRANT ST
PORTLAND, OR 97233-5518
Phone number: 541-499-8887