Individual provider Active NPI

Leila Hotaki Mesch, M.D.

  • Pediatrics Physician
  • Longview, WA
National Provider Identifier
1215041124
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD19417 Issued in OR
Practice address
971 11TH Ave
Longview, WA 98632-2503
Phone
(360) 423-6140
Fax
(360) 423-6140
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD19417 OR Primary

Addresses

Primary practice location

971 11TH Ave
Longview, WA 98632-2503

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

445 E Main St
Hillsboro, OR 97123-4084
Phone (503) 640-2757

Other practice location 2

12442 SW Scholls Ferry Rd Ste 205
Tigard, OR 97223-0804
Phone (503) 216-9140

Other identifiers 1

IdentifierTypeStateIssuer
073668MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmesch140733@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000156 OR Practitioner - Pediatric Medicine 1951489335 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 1, 2018 Accepting new patients
Legacy Emanuel Hospital & Health Center Pediatrics CurrentSince Dec 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 1, 2018 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 1, 2015 Accepting new patients
Olson Pediatric Clinic, LLC Past Accepting new patients

Locations

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

2800 N Vancouver Ave
Ste 165
Portland, OR 97227
Phone (503) 413-2902

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

12442 SW Scholls Ferry Rd
Ste 205
Tigard, OR 97223
Phone (503) 216-9140

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

Interoperability endpoints

  • Direct secure messaging: lmesch140733@oc.providencedirect.org
  • Direct secure messaging: lmesch11975@direct.lhs.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215041124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322503",
            "telephone_number": "360-423-6140",
            "fax_number": "360-423-6140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234084",
            "country_code": "US",
            "telephone_number": "503-640-2757",
            "fax_number": "503-640-9753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12442 SW Scholls Ferry Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972230804",
            "country_code": "US",
            "telephone_number": "503-216-9140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESCH",
        "first_name": "LEILA",
        "middle_name": "HOTAKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD19417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073668",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmesch140733@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12442 SW Scholls Ferry Rd Ste 205",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972230804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.