Katie J Lederle, B.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7455 SW Beveland Rd
Tigard, OR 97223-8610

Phone

(503) 624-2600

Fax

(503) 624-7752

NPI assigned

Nov 15, 2007

Last updated

Feb 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1558542795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 NE 20TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124617",
            "telephone_number": "720-938-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 SW BEVELAND RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238610",
            "telephone_number": "503-624-2600",
            "fax_number": "503-624-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERLE",
        "first_name": "KATIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Le, DPT
• Samantha Le, OD
• Tuong Vy Le
• Hailey Elizabeth Leavitt
• Ryan J Leclaire, D.D.S.
• Alexander Lee, DMD
• Carma J Lee, MD
• Erik Lee, PMHNP
• Joyce L Lee, M.D.
• Junko Lee, FNP

• Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.