Provider Demographics
NPI:1306985312
Name:SANCHEZ-GOETTLER, LESLIE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ANN
Last Name:SANCHEZ-GOETTLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14126 NW DUNBAR LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97231-2656
Mailing Address - Country:US
Mailing Address - Phone:971-325-4033
Mailing Address - Fax:
Practice Address - Street 1:10060 NE EVERGREEN PKWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6448
Practice Address - Country:US
Practice Address - Phone:971-325-4033
Practice Address - Fax:855-849-3380
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0069281207R00000X
NM2006-0767207R00000X
NMMD2009-0469207R00000X
OR89990714207RB0002X
ORMD164142207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine