Provider Demographics
NPI:1891451951
Name:DASH, LEAH (DC)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:DASH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1142
Mailing Address - Country:US
Mailing Address - Phone:561-373-2407
Mailing Address - Fax:
Practice Address - Street 1:1105 WILSON ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1675
Practice Address - Country:US
Practice Address - Phone:561-373-2407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor