Most Relevant Information
Provider Data
| NPI Number: | 1003415647 |
| Provider Name: | KATHERINE LEONIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 092007052RN |
Most Important Dates
| Enumeration Date: | 10/24/2020 |
| Last Updated: | 10/24/2020 |
Provider Practice Location
200 BEATTY ST
MEDFORD
OR
975015811
Practice Location Phone/Fax
| Phone: | 5414762373 |
| Fax: |
Provider Mailing Location
1215 SW G ST
GRANTS PASS
OR
975262544
Provider Mailing Phone/Fax
| Phone: | 5414762373 |
| Fax: |