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Carl Wallace Leder, PA-C
Physician Assistant in Roseburg, Oregon
NPI 1619341724

Carl Wallace Leder is a Physician Assistant based in Roseburg, OR. Carl Wallace Leder practices in Roseburg, OR and has the professional credentials of PA-C. The NPI Number for Carl Wallace Leder is 1619341724 and holds a License No. PA174113 (Oregon).

The current practice location address for Carl Wallace Leder is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-672-2691 and via fax at 833-299-8415. You can also correspond with Carl Wallace Leder through the mailing address at PO BOX 1121, ROSEBURG, OR - 97470-0254 (mailing address contact number: 541-672-2691).

Location: 621 W Madrone St, Roseburg, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619341724
Provider Name
Carl Wallace Leder
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
621 W Madrone St, Roseburg, OR, 97470-0254
Phone Number
541-672-2691
Fax Number
833-299-8415
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
833-299-8415
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
833-299-8415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA174113 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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