LESLIE LEE MCCULLOUGH M.D.
NPI 1912068289
Family Medicine in Medford, OR

Active since December 12, 2006
1600 DELTA WATERS RD, SUITE 107, MEDFORD, OR 97504(541) 858-2515(541) 858-2514 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Mar 16, 2017 (2 updates tracked since 2017).

About Leslie Lee Mccullough M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE LEE MCCULLOUGH M.D. (NPI 1912068289) is an individual family medicine provider in Medford, Oregon, licensed in Oregon (MD11227) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912068289
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLESLIE LEE MCCULLOUGHCredential: M.D.
Location Address1600 DELTA WATERS RD, SUITE 107Medford, OR 97504-9114
Mailing Address815 N Central Ave, Suite CMedford, OR 97501-5873 · (541) 734-9030 · Fax (541) 734-9885
Fax(541) 858-2514
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1912068289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD11227
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 DELTA WATERS RD, Medford, OR 97504

Other Identifiers 2

Medicaid113738OR
OtherMD11227Medical License

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Nurse Practitioner (Family)
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Physician Assistant
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Physician Assistant
1600 DELTA WATERS RD, 107
MEDFORD, OR 97504
Family Medicine
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Physician Assistant
1600 DELTA WATERS RD
MEDFORD, OR 97504
Emergency Medicine
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Nurse Practitioner (Family)
1600 DELTA WATERS RD, STE 107
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Mccullough's NPI number?

The NPI number for Leslie Mccullough is 1912068289. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Leslie Mccullough located?

Leslie Mccullough practices at 1600 Delta Waters Rd Suite 107, Medford, OR 97504. The listed phone number is (541) 858-2515.

What is Leslie Mccullough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Leslie Mccullough was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.