Provider Demographics
NPI:1417604935
Name:CONTRERAS ROJAS, LESLIE PATRICIA
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:PATRICIA
Last Name:CONTRERAS ROJAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:PATRICIA
Other - Last Name:ROJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5299
Mailing Address - Street 2:MS: 820-5-PCO
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98415-0299
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:345 COOPER POINT RD NW STE 103
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4461
Practice Address - Country:US
Practice Address - Phone:360-763-7515
Practice Address - Fax:360-754-5362
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA61598314363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant