ELIZABETH LEAVELL

PORTLAND, OR
NPI1740530989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  089005220LPN)
Additional Taxonomies302R00000X Health Maintenance Organization
(Licence: OR  089005220LPN)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
-- ELIZABETH LEAVELL
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
Mailing Address
-- ELIZABETH LEAVELL
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: