MEDICARE: DR. LEANN ALEXANDRIA ZIELINSKI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO157231	OR
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	DO157231	OR

General Provider Information

NPI Number	:	1477713634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEANN ALEXANDRIA ZIELINSKI D.O.

Provider Business Mailing Address
First Line	:	2305 SE WASHINGTON ST
Second Line	:	SUITE 105
City	:	MILWAUKIE
State	:	OR
Zip	:	97222-7647
Country	:	US
Telephone Number	:	503-894-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 SE WASHINGTON ST
Second Line	:	SUITE 105
City	:	MILWAUKIE
State	:	OR
Zip	:	97222-7647
Country	:	US
Telephone Number	:	503-894-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	10/10/2016

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