Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LELAND MATTHEW PICCOLO, PAC
ActiveMR. LELAND MATTHEW PICCOLO, PAC is a Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1114116993 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1114116993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2007 (18.797874787367 yrs)
- Last Updated
- Mar 7, 2022
- License
-
PA01395 (OR)
Practice Information
- Address
-
9155 SW BARNES RDSUITE 440PORTLAND, OR, 972256625Browse OR providers · Browse ZIP 97225
- Phone
- 5032973766
- Fax
- 5032978148
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SCOTT PRESTON BEYER | PA-C | 1295737997 |
| LEON QUINTON COLBURN | PA | 1578565339 |
| ROBERT LOUIS COURTOX | PA | 1184626970 |
| JONATHAN REUEL VAN HORN | PAC | 1992798060 |
| JENNY L HUME | PA C | 1851387666 |
| JOHNNY YUN | PA C | 1538155312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.