Basic Information
| Provider Information | |||||||||
| NPI: | 1477713634 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZIELINSKI | ||||||||
| FirstName: | LEANN | ||||||||
| MiddleName: | ALEXANDRIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2305 SE WASHINGTON ST | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | MILWAUKIE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972227647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038949005 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2305 SE WASHINGTON ST | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | MILWAUKIE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972227647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038949005 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2008 | ||||||||
| LastUpdateDate: | 10/10/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | DO157231 | OR | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207QA0401X | DO157231 | OR | N | Allopathic & Osteopathic Physicians | Family Medicine | Addiction Medicine |
No ID Information.