Active NPI
Leon Speroff, M.D.
- Reproductive Endocrinology Physician
- Portland, OR
National Provider Identifier
1295004075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD10584
- Practice address
- 15001 NW Skyline Blvd
Portland, OR 97231-2403 - Phone
- (503) 621-3331
- NPI assigned
- Dec 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD10584 | OR | Primary |
Addresses
Primary practice location
15001 NW Skyline Blvd
Portland, OR 97231-2403
Mailing address
15001 NW Skyline Blvd
Portland, OR 97231-2403
Phone (503) 621-3331
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10584 | OR | MD | Reproductive Endocrinology Physician |
| 10584 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1295004075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 NW SKYLINE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972312403",
"telephone_number": "503-621-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 NW SKYLINE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972312403",
"telephone_number": "503-621-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEROFF",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OR",
"license": "MD10584",
"primary": true
}
],
"identifiers": [],
"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 Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.