LESLIE GUSTAFSON

LAKE OSWEGO, OR
NPI1922405059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA170542)
Enumeration Date2014-12-04
Last Update Date2021-02-12
Business Address
LESLIE GUSTAFSON PA-C
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034-5199
Phone number: 503-872-2440
Mailing Address
LESLIE GUSTAFSON PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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