Provider Demographics
NPI:1497788004
Name:GARLAND, LESLIE ALLISON (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ALLISON
Last Name:GARLAND
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:PO BOX 3905
Mailing Address - Street 2:DEPT. 4204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3905
Mailing Address - Country:US
Mailing Address - Phone:425-688-5470
Mailing Address - Fax:425-688-5605
Practice Address - Street 1:6520 226TH PL SE
Practice Address - Street 2:SUITE 150
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8969
Practice Address - Country:US
Practice Address - Phone:425-688-5777
Practice Address - Fax:425-369-1435
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8203028Medicaid
WA0196840OtherL & I WORKERS COMP
WA6520GAOtherREGENCE BLUESHIELD RIDER
WA8905796OtherL & I CRIME VICTIMS
WAP00266470OtherRAILROAD
WAP00266470OtherRAILROAD
WA0196840OtherL & I WORKERS COMP
WA8905796OtherL & I CRIME VICTIMS