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Contact Information

LEON R AYLETT III, AGPCNP
1807 COVE AVE
LA GRANDE, OR97850-3516
 Phone: 541-663-9008
 Fax: 541-624-5454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LEON R AYLETT III · (Male)

NPI # 1467917187
Status Active
Credentials AGPCNP
Entity Individual
Enumeration date 02/06/2019
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 202208292-NP-PP
  • OR License # 202208292NP-PP
Hospital affiliation(s) Not Available
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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