Active NPI
Stephanie L Letson, LMT
- Specialist
- Forest Grove, OR
National Provider Identifier
1003043183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13005
- Practice address
- 1911 Mountain View LN
Suite 200
Forest Grove, OR 97116-2382 - Phone
- (503) 357-2826
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13005 | OR | Primary |
Addresses
Primary practice location
1911 Mountain View LN
Suite 200
Forest Grove, OR 97116-2382
Mailing address
1911 Mountain View LN
Suite 200
Forest Grove, OR 97116-2382
Phone (503) 357-2826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13005 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1003043183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MOUNTAIN VIEW LN",
"address_2": "SUITE 200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162382",
"telephone_number": "503-357-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MOUNTAIN VIEW LN",
"address_2": "SUITE 200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162382",
"telephone_number": "503-357-2826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETSON",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "13005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.