Individual provider · Type 1 NPI

Lenea Ola Headley, PA-C

Medical Physician Assistant · Springfield, OR

NPI number 1770735292 Active

Practice location

3355 Riverbend Dr, Ste 240
Springfield, OR 97477-8800

Fax (541) 687-7943

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0010-01511 (NC)
Medical Physician Assistant Primary 363AM0700XPA161723 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1770735292

Lenea Ola Headley, PA-C's National Provider Identifier is 1770735292, issued on Oct 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, OR. The record was last updated on Aug 17, 2015.