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1689399339
DEREK ALEXANDER LEISS
PORTLAND, OR
NPI
1689399339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175F00000X Naturopath
(Licence: OR 4474)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
Dr. DEREK ALEXANDER LEISS ND
819 SE MORRISON ST STE 115
PORTLAND, OR 97214-6308
Phone number: 503-956-9396
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Mailing Address
Dr. DEREK ALEXANDER LEISS ND
2722 NE 15TH AVE
PORTLAND, OR 97212-3302
Phone number: 480-262-6466
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