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NPI Code Detail

MEDICARE: DR. LEONARD HARRY KAUFMAN PH.D.

MEDICARE:  DR. LEONARD HARRY KAUFMAN  PH.D.
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
1103TC0700XClinical Psychologist1861DC

General Provider Information

NPI Number : 1972717775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD HARRY KAUFMAN PH.D.
Provider Business Mailing Address
First Line : 905 SE 14TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97214-2569
Country : US
Telephone Number : 503-489-7247
Fax Number :
Provider Business Practice Location Address
First Line : 905 SE 14TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97214-2569
Country : US
Telephone Number : 503-489-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 10/31/2023

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Directions to “ DR. LEONARD HARRY KAUFMAN PH.D.” Practice Location

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