Individual provider Active NPI

Lesley Anne Portugal, M.D.

  • Internal Medicine Physician
  • Moscow, ID
National Provider Identifier
1023498532
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60915046 Issued in WA
Practice address
700 S Main St
Moscow, ID 83843-3046
Phone
(208) 882-4511
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X M-14838 ID
Internal Medicine Physician 207R00000X M-14838 ID
Hospitalist Physician 208M00000X M-2528 GU
Internal Medicine Physician 207R00000X MD60915046 WA Primary
Hospitalist Physician 208M00000X MD60915046 WA
Hospitalist Physician 208M00000X MTL-2026-009 GU

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843-3046

Mailing address

700 S Main St
Moscow, ID 83843-3046
Phone (208) 882-4511

Other practice location 1

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 459-3583

Other practice location 2

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 924-6650

Other practice location 3

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3260

Other practice location 4

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Other practice location 5

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5084

Other names 1

  • Lesley Anne Cruz Portugal Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lportugal409314@direct.multicare.org
Direct Messaging Address lportugal1151280@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, HI, OK, GU5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190422002136 WA Practitioner - Internal Medicine 7012267057 Reassigns benefits to 3 organizations
I20190924003436 ID Practitioner - HospitalistPractitioner - Internal Medicine 7012267057 Reassigns benefits to 3 organizations
I20231003002419 HI Practitioner - Hospitalist 7012267057 Reassigns benefits to 1 organization
I20250102002176 OK Practitioner - Internal Medicine 7012267057 Reassigns benefits to 1 organization
I20260310002936 GU Practitioner - Hospitalist 7012267057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

1380 Lusitana St
Honolulu, HI 96813-2448

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

6161 S Yale Ave
Tulsa, OK 74136-1902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-2528GUMDHospitalist Physician
MTL-2026-009GUMDHospitalist Physician
MD60915046WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 28, 2019 Accepting new patients
Hospitalist Medicine Physicians of California - San Leandro, PC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 28, 2019 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 29, 2019 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Sep 29, 2019 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Kootenai Health, Inc. CurrentSince Dec 18, 2021 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Dec 1, 2024 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 16, 2026 Accepting new patients
Kootenai Health, Inc. CurrentSince Dec 18, 2021 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jul 12, 2021 Accepting new patients
Queens University Medical Group CurrentSince Aug 20, 2023 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Empire Health Services Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: lportugal409314@direct.multicare.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1023498532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5633 N Lidgerwood St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081224",
            "country_code": "US",
            "telephone_number": "509-459-3583",
            "fax_number": "509-482-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12606 E Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163421",
            "country_code": "US",
            "telephone_number": "509-924-6650",
            "fax_number": "509-922-5421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3260",
            "fax_number": "509-474-3245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "83814",
            "country_code": "US",
            "telephone_number": "208-625-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTUGAL",
        "first_name": "LESLEY ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-14838",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-14838",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "M-2528",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60915046",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60915046",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "MTL-2026-009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lportugal409314@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lportugal1151280@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5633 N Lidgerwood St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992081224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLEY ANNE",
            "last_name": "PORTUGAL",
            "middle_name": "CRUZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.