Healthcare Provider Details

I. General information

NPI: 1376584011
Provider Name (Legal Business Name): LEONARD DEWITT SAVAGE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 NE A ST
MADRAS OR
97741-1844
US

IV. Provider business mailing address

480 NE A ST
MADRAS OR
97741-1844
US

V. Phone/Fax

Practice location:
  • Phone: 541-475-4800
  • Fax: 541-475-4805
Mailing address:
  • Phone: 541-475-4800
  • Fax: 541-475-4805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOR-MD20061
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: