Provider Demographics
NPI:1235211087
Name:LEONARD, MARGARET A (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:LEONARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COBURG RD
Mailing Address - Street 2:STE 100
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7478
Mailing Address - Country:US
Mailing Address - Phone:541-342-8616
Mailing Address - Fax:541-686-4814
Practice Address - Street 1:10 COBURG RD
Practice Address - Street 2:STE 100
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7478
Practice Address - Country:US
Practice Address - Phone:541-342-8616
Practice Address - Fax:541-686-4814
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000030867RN363LW0102X
OR000030867N7 WHCNP PP363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR115312Medicare PIN