Allan Michael Leland, PSY.D, CRC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1260 Issued in OR

Practice address

9400 SW Beaverton Hillsdale Hwy
Suite 205
Beaverton, OR 97005-3315

Phone

(503) 684-7246

Fax

(503) 624-0724

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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

• Northwest Occupational Medicine Center Inc.

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
  • NPI 1407882772
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1740218015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "ALLAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1260",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara K Legrand, PH.D
• Jordan Leibbrandt
• John Leidholt, PT
• Maria Leija Briones
• Brice Leion, PT
• Jessica Lemaire
• Wendy Raquel Lemus Hernandez
• Lianne Carole Lennert, PSYD
• Samantha Leon-Coria
• Leticia Leos Naranjo

• Clinical Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.