Individual provider · Type 1 NPI

Leocadia Hainley

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1700073632 Active

Practice location

3034 NE Mlk Blvd
Portland, OR 97212-3053

Call (503) 889-2849 Map

Mailing address

17097 SW Green Heron Dr
Sherwood, OR 97140-8971

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700073632

Leocadia Hainley's National Provider Identifier is 1700073632, issued on Sep 25, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Oct 28, 2007.