NICKY JO LEEBORG

PORTLAND, OR
NPI1790921005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  MD27627)
Enumeration Date2008-12-17
Last Update Date2022-02-01
Business Address
Dr. NICKY JO LEEBORG M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-2310
Mailing Address
Dr. NICKY JO LEEBORG M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-2310
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