Leslie D Iverson, ARNP, MPH
Individual provider Active NPI Family Nurse Practitioner · Scappoose, OR
NPI 1174621676 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1174621676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200350038NP (OR)
- Practice address
- 51377 Old Portland Road
Suite C
Scappoose, OR 97056 - Phone
- (503) 418-4222
- Fax
- (503) 418-4223
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904000683 | OR | Order and Referring Only - Family Practice |
7113073404 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200350038NP | OR | Yes |
Addresses
Primary practice location
51377 Old Portland Road
Suite C
Scappoose, OR 97056
Mailing address
51377 SW Old Portland Rd
Suite C
Scappoose, OR 97056-4018
Phone (503) 418-4222
Other providers in Scappoose, OR
- Hopkins Chiropractic Clinic
- Michael Lynn Hopkins
- Kimberly Horn
- Tsung-Ju Hsieh
- Bethany Louise Hull
- Lindsey M Jones
- Jennifer Kearsley
- Kendall R. Liday DDS LLC
- Troy Allen Kindy
- Olya Vasilyevna Kurkoski
All providers in Scappoose, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.