Leslie Phu, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

5036 Issued in OR

Practice address

5440 SW Westgate Dr Ste 320
Portland, OR 97221-2447

Phone

(503) 847-9211

NPI assigned

Nov 22, 2023

Sex

Female

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

Locations

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.

• Yin Fire Holistic Health LLC

  • Clinic/Center
  • Georgetown, KY
  • NPI 1164269148
  NPD Authorized official
• Terrain Wellness LLC

  • Naturopath
  • Camas, WA
  • NPI 1467232256

  Acupuncturist

  NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1831964477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60755 NW COCHRAN RD",
            "city": "TIMBER",
            "state": "OR",
            "postal_code": "971449255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212447",
            "telephone_number": "503-847-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHU",
        "first_name": "LESLIE",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC218113",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Phoenix
• Tony Phomphakdy
• Thasanavadee Phromchotikul, D.M.D.
• Kathleen Phu, PHARMD
• Kenny Phu
• Amy Phung
• Physician Directed Services, Inc.
• Physicians First LLC
• Physio PDX LLC
• Physioflow

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.