Provider Demographics
NPI:1841605912
Name:PARSLEY, LEAH (LMT)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 SE 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-3810
Mailing Address - Country:US
Mailing Address - Phone:503-266-5858
Mailing Address - Fax:503-266-6773
Practice Address - Street 1:725 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-3810
Practice Address - Country:US
Practice Address - Phone:503-266-5858
Practice Address - Fax:503-266-6773
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18254171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor