Individual provider Active NPI

Jaime Beth Lefcovich, LDM, CPM

  • Midwife
  • Portland, OR
National Provider Identifier
1780267161
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
10211164 Issued in OR
Practice address
333 NE Russell St Ste 204
Portland, OR 97212-3763
Phone
(530) 401-6806
Fax
(971) 228-1387
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 10211164 OR Primary

Addresses

Primary practice location

333 NE Russell St Ste 204
Portland, OR 97212-3763

Mailing address

6147 NE Failing St Unit a
Portland, OR 97213-3231
Phone (530) 401-6806

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

State licenses

LicenseStateTypeSpecialty
10211164ORMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1780267161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 NE FAILING ST UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133231",
            "telephone_number": "530-401-6806",
            "fax_number": "971-228-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE RUSSELL ST STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123763",
            "telephone_number": "530-401-6806",
            "fax_number": "971-228-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFCOVICH",
        "first_name": "JAIME",
        "middle_name": "BETH",
        "credential": "LDM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "10211164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.