Mihaela Lebo
Individual provider Active NPI Family Nurse Practitioner · Ocean Park, WA
NPI 1104786193 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1104786193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP70168924 (WA)
- Practice address
- 21610 Pacific Way
Ocean Park, WA 98640-3206 - Phone
- (360) 665-3000
- Fax
- (360) 665-3096
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10251008 | OR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP70168924 | WA | Yes |
Addresses
Primary practice location
21610 Pacific Way
Ocean Park, WA 98640-3206
Mailing address
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 261-7848
Other providers in Ocean Park, WA
- Durinda Haukap
- Kristopher Henderson
- Deborah Hoenig
- Patrice Johnell
- Nyna Rose Krause/Beadle
- Jerome March
- April McCune
- Kevin P McGinley
- Nathan King Miller
- Terri Miller
All providers in Ocean Park, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.