Active NPI
Jordan Leibbrandt
- Family Medicine Physician
- Beaverton, OR
National Provider Identifier
1659299444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 201607923RN
- Practice address
- 12345 SW Horizon Blvd Ste 57a
Beaverton, OR 97007-9475 - Phone
- (503) 216-8820
- NPI assigned
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 201607923RN | OR | Primary |
Addresses
Primary practice location
12345 SW Horizon Blvd Ste 57a
Beaverton, OR 97007-9475
Mailing address
11745 SW Burlcrest Dr
Tigard, OR 97223-3209
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1659299444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11745 SW BURLCREST DR",
"city": "TIGARD",
"state": "OR",
"postal_code": "972233209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 SW HORIZON BLVD STE 57A",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079475",
"telephone_number": "503-216-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBBRANDT",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "201607923RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.