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NPI 1417964321

IndividualActive

George Leseberg, D.M.D

NPI 1417964321 · Oral and Maxillofacial Surgery (Dentist) · Portland, OR

Provider details

NPI number: 1417964321
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.M.D
Sex: Male
Sole proprietor: Yes
License: D-3163-OS (ID)

Practice location

700 Ne Multnomah St

Ste 840

Portland, OR 97232

Phone: (503) 232-4488

Fax: (503) 239-4075

More OR providers

Mailing address

700 Ne Multnomah St

Portland, OR 97232

Registry dates

Enumerated: 2006-08-02
Last updated: 2015-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

George Leseberg, D.M.D — NPI 1417964321, Portland, OR | NPI Central