Individual provider Active NPI

Virginia Leslie, MD

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1336119288
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD28877 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 418-4500
Fax
(503) 494-4473
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD28877 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-4500

Other identifiers 4

IdentifierTypeStateIssuer
035807100MedicaidDC
404923300MedicaidDC
500603443MedicaidOR
010070597MedicaidDC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vleslie116055@oc.providencedirect.org
Direct Messaging Address vleslie116055@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
I20090706000458 OR Practitioner - Obstetrics/Gynecology 4789657487 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1151 N Adair St
Cornelius, OR 97113-8900
Phone (503) 359-5564

226 SE 8TH Ave
Hillsboro, OR 97123-4218
Phone (503) 601-7400

2725 SW Cedar Hills Blvd
Beaverton, OR 97005-1435
Phone (503) 352-6000

9135 SW Barnes Rd
Portland, OR 97225-6777

9427 SW Barnes Rd
Portland, OR 97225-6652

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Current Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology CurrentSince Dec 19, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 19, 2016 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 19, 2016 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 19, 2016 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 7, 2018 Accepting new patients
Tuality Healthcare CurrentSince Mar 20, 2017 Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 19, 2016 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 19, 2016 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 7, 2018 Accepting new patients
Tuality Healthcare CurrentSince Mar 20, 2017 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
University Professional Services Past Accepting new patients
Virginia Garcia Memorial Health Center Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

333 SE 7th Ave
Ste 5500
Hillsboro, OR 97123
Phone (503) 597-4500

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

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

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

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

18040 SW Lower Boones Ferry Rd
Ste 207
Tigard, OR 97224
Phone (503) 216-5380

Interoperability endpoints

  • Direct secure messaging: vlesliemd35432@direct.ohsu.edu
  • Direct secure messaging: vleslie106767@direct.ochin.org
  • Direct secure messaging: vleslie116055@oc.providencedirect.org

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1336119288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD28877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035807100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404923300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500603443",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010070597",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vleslie116055@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18040 SW Lower Boones Ferry Rd Ste 207",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972247259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vleslie116055@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd Ste 761",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.