Individual provider · Type 1 NPI

Nicole Leonard, MD

Family Medicine Physician · Portland, OR

NPI number 1093457384 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

4411 SW Vermont St
Portland, OR 97219-1020

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD232141 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1093457384

Nicole Leonard, MD's National Provider Identifier is 1093457384, issued on Apr 8, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2026.