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Contact Information

ROM S LEIDNER, MD
4805 NE GLISAN ST
SUITE 6N40
PORTLAND, OR97213-2933
 Phone: 503-215-5696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROM S LEIDNER · (Male)

NPI Number 1801908702
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 57.012492
  • OR License # MD159938
  • WA License # MD00044911
  • WA Medicaid 8441743
  • Other P00287631 RAILROAD MEDICARE
  • WA Other 0039581 LABOR & INDUSTRY
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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