Penelope Roxas Leair

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201142524RN Issued in OR

Practice address

10860 SE Oak St
Milwaukie, OR 97222-6694

Phone

(503) 652-8058

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1518678606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 SW VESTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197453",
            "telephone_number": "847-840-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 SE OAK ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226694",
            "telephone_number": "503-652-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAIR",
        "first_name": "PENELOPE",
        "middle_name": "ROXAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201142524RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha May Lawrence
• Anh T Le, DMD
• John Le, DMD
• Khoa Van Le, PHARMACIST
• Trinh Le
• Jenifer Leavenworth, THW-PSS
• Constance Cora Leben, PMHNP
• Alex Ledbetter
• Eunice Ledford
• Alexis Brianna Lee, BAI, CNA

• Registered Nurse in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.