Provider Demographics
NPI:1235486572
Name:LEON, DOLORES ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:ANNE
Last Name:LEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 S.W. FIRST AVENUE
Mailing Address - Street 2:#2322
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5023
Mailing Address - Country:US
Mailing Address - Phone:503-222-2729
Mailing Address - Fax:
Practice Address - Street 1:2221 S.W. FIRST AVENUE
Practice Address - Street 2:#2322
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-5023
Practice Address - Country:US
Practice Address - Phone:503-222-2729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10371207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology