Provider Demographics
NPI:1730945551
Name:DUECHLE, LEYLA HEATHER
Entity type:Individual
Prefix:
First Name:LEYLA
Middle Name:HEATHER
Last Name:DUECHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEYLA
Other - Middle Name:HEATHER
Other - Last Name:STICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-0995
Mailing Address - Country:US
Mailing Address - Phone:800-244-4870
Mailing Address - Fax:503-397-7424
Practice Address - Street 1:2370 GABLE RD
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-2913
Practice Address - Country:US
Practice Address - Phone:800-244-4870
Practice Address - Fax:503-397-1424
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker