Active NPI
Leily Esteghlalian, STUDENT
- Student in an Organized Health Care Education/Training Program
- Portland, OR
National Provider Identifier
1275840936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 098000406
- Practice address
- 5000 N Willamette Blvd
Bc382
Portland, OR 97203-5743 - Phone
- (503) 943-7266
- NPI assigned
- Sep 1, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 098000406 | OR | Primary |
Addresses
Primary practice location
5000 N Willamette Blvd
Bc382
Portland, OR 97203-5743
Mailing address
5000 N Willamette Blvd
Bc382
Portland, OR 97203-5743
Phone (503) 943-7266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098000406 | Other | OR | OREGON STATE BOARD OF NURSIN |
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 |
|---|---|---|---|
| 098000406 | OR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1275840936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 N WILLAMETTE BLVD",
"address_2": "BC382",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972035743",
"telephone_number": "503-943-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 N WILLAMETTE BLVD",
"address_2": "BC382",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972035743",
"telephone_number": "503-943-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEGHLALIAN",
"first_name": "LEILY",
"name_prefix": "Mrs.",
"credential": "STUDENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "098000406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF NURSIN",
"identifier": "098000406",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.