Active NPI
Julie Lelievre
- Occupational Therapist
- Portland, OR
National Provider Identifier
1902345754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 358420
- Practice address
- 45 NE 122ND Ave
Portland, OR 97230-2101 - Phone
- (503) 252-0241
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 358420 | OR | Primary |
Addresses
Primary practice location
45 NE 122ND Ave
Portland, OR 97230-2101
Mailing address
11468 SE 90TH Ave Unit 1728
Happy Valley, OR 97086-2903
Phone (628) 224-0074
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
| License | State | Type | Specialty |
|---|---|---|---|
| 358420 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1902345754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11468 SE 90TH AVE UNIT 1728",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970862903",
"telephone_number": "628-224-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302101",
"telephone_number": "503-252-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELIEVRE",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "358420",
"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 Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.