LESLIE D IVERSON (NPI# 1174621676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174621676 |
| Entity Type | Individual |
| Full Name | LESLIE D IVERSON |
| Credential | ARNP, MPH |
| Practice Address |
51377 Old Portland Road Suite C Scappoose OR 97056 |
| Mailing Address |
51377 Sw Old Portland Rd Suite C Scappoose OR 97056-4018 |
| Practice Telephone | 5034184222 |
| Practice Fax Number | 5034184223 |
| Mailing Telephone | 5034184222 |
| Mailing Fax Number | 5034184223 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200350038NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417967035 | Leslie K Iverson | Physician Assistant | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2006-08-08 |
| Street Address |
51377 OLD PORTLAND ROAD SUITE C |
| City | SCAPPOOSE |
| State | OR |
| Zip Code | 97056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177964 | Gregory Randolph | Physician Assistant | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 | 2018-06-12 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1114291622 | Oregon Aero, Inc. | Durable Medical Equipment & Medical Supplies | 34020 Skyway Dr., Scappoose, OR 97056 | 2012-03-01 |
| 1619140506 | Scappoose Chiropractic Clinic PC | Clinic/Center | 52481 Sw 1st Street, Scappoose, OR 97056 | 2008-04-11 |
| 1992903454 | Family Vision of Oregon PC | Optometrist | 51675 N Columbia River Hwy, Scappoose, OR 97056 | 2007-07-06 |
| 1265649586 | Hopkins Chiropractic Clinic | Chiropractor | 51669 S. Columbia River Hwy., Suite 130, Scappoose, OR 97056 | 2007-05-17 |
| 1811062706 | Mary Davey Dower | Counselor | 51891 Old Portland Rd, Suite B, Scappoose, OR 97056 | 2006-11-24 |
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| 1265533608 | Stephen Frederick Taylor | Dentist | 33454 Havlik Road, Scappoose, OR 97056 | 2006-09-26 |
| Find all providers in zip 97056 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690450 | Kathryn Maeve Mcgarry | Nurse Practitioner | 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056-4023 | 2020-02-08 |
| 1427426014 | Connie Silverman | Nurse Practitioner | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2015-09-13 |
| 1710082532 | Holly Balsbaugh | Nurse Practitioner | 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056-4023 | 2006-09-14 |
| 1316914203 | Mary E Bartlett | Nurse Practitioner | 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056-4023 | 2006-03-01 |
| 1497741854 | Teresa Turnbull | Nurse Practitioner | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.