Provider Demographics
NPI:1245274851
Name:DAAB, LEO J (MD)
Entity type:Individual
Prefix:DR
First Name:LEO
Middle Name:J
Last Name:DAAB
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:MAIL CODE: OP11
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-7593
Mailing Address - Fax:503-346-8081
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:MAIL CODE: OP11
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-7593
Practice Address - Fax:503-346-8081
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2018-09-24
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Provider Licenses
StateLicense IDTaxonomies
WA604046482086S0129X
ORMD1896262086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery