NPIMap

Organization Active NPI

Orchards Family Medicine, Inc. PS

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1417036849
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044580 Issued in WA
Legal business name
ORCHARDS FAMILY MEDICINE, INC. PS
Practice address
9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206
Phone
(360) 567-0488
Fax
(360) 567-0489
NPI assigned
Nov 5, 2006
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Elise Leaf Leland, MDNPI 1336228766
Title
President
Phone
(360) 567-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY60285535 WA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00044580 WA Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X P0515 WA

Addresses

Primary practice location

9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206

Mailing address

9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206
Phone (360) 567-0488

Other identifiers 1

IdentifierTypeStateIssuer
838530000OtherORREGENCE BLUE CROSS GROUP

National Provider Directory

National Provider Directory

Locations

5500 NE 109th Ct
Ste E
Vancouver, WA 98662
Phone (360) 567-0488

9300 NE Vancouver Mall Dr
Vancouver, WA 98662

9300 NE Vancouver Mall Dr
Ste 101
Vancouver, WA 98662
Phone (360) 567-0488

9300 NE Vancouver Mall Dr
Ste 201
Vancouver, WA 98662
Phone (360) 567-0488

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1417036849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628206",
            "telephone_number": "360-567-0488",
            "fax_number": "360-567-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628206",
            "telephone_number": "360-567-0488",
            "fax_number": "360-567-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARDS FAMILY MEDICINE, INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LELAND",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "LEAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-567-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60285535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044580",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P0515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS GROUP",
            "identifier": "838530000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.