DR. LAURA A EDWARDS-LEEPER (NPI# 1346260932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346260932 |
| Entity Type | Individual |
| Full Name | DR. LAURA A EDWARDS-LEEPER |
| Credential | PH.D. |
| Practice Address |
15455 Nw Greenbrier Pkwy Ste 240 Beaverton OR 97006-7374 |
| Practice Telephone | 5037135323 |
| Practice Fax Number | 5036170475 |
| Mailing Telephone | 5037135323 |
| Mailing Fax Number | 5036170475 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
8599 | MA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY60221263 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2260 | OR | Behavioral Health & Social Service Providers |
| Street Address |
15455 NW GREENBRIER PKWY STE 240 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-7374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131624 | Dean A Moshofsky | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2005-08-15 |
| 1245771369 | Body & Face LLC | Massage Therapist | 15455 Nw Greenbrier Pkwy, Suite 120, Beaverton, OR 97006-7374 | 2017-03-09 |
| 1992243034 | Source Health Center | Chiropractor | 15455 Nw Greenbrier Pkwy, Suite #150, Beaverton, OR 97006-7374 | 2017-02-09 |
| 1376952275 | Novam-nutrition LLC | Non-Pharmacy Dispensing Site | 15455 Nw Greenbrier Pkwy, Suite #100, Beaverton, OR 97006-7374 | 2014-08-05 |
| 1164799813 | Rebecca Berzow | Naturopath | 15455 Nw Greenbrier Pkwy, Suite 100, Beaverton, OR 97006-7374 | 2011-11-23 |
| 1508142894 | Sharon Suzanne Carter | Social Worker | 15455 Nw Greenbrier Pkwy, Suite 240, Beaverton, OR 97006-7374 | 2011-10-31 |
| 1053610527 | Sherry L Sweeney | Nurse Practitioner | 15455 Nw Greenbrier Pkwy, Suite 111, Beaverton, OR 97006-7374 | 2011-03-22 |
| 1740588185 | Columbia Care LLC | In Home Supportive Care | 15455 Nw Greenbrier Pkwy, Ste 205, Beaverton, OR 97006-7374 | 2011-03-09 |
| 1417151382 | Sara Murdick | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2007-06-13 |
| 1174646129 | Perio Aesthetics & Implantology | Dentist | 15455 Nw Greenbrier Pkwy, Suite 235, Beaverton, OR 97006-7374 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815811 | Kristen Heather Marcaly | Psychologist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005 | 2009-08-06 |
| 1437286986 | Jennifer Alida Felker-thayer | Psychologist | 4900 Sw Griffith Dr, Suite 235, Beaverton, OR 97005-5607 | 2007-02-28 |
| 1235131632 | Metropolitan Pediatrics, LLC | Psychologist | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530643 | Positive Development for Youth and Families, Inc. | Psychologist | 4531 Se Belmont St Ste 110, Portland, OR 97215-1675 | 2020-02-21 |
| 1467819631 | Megan Nichols | Psychologist | 2734 Se 29th Ave, Apt B, Portland, OR 97202-1381 | 2016-01-19 |
| 1699161745 | Nvw Newco | Psychologist | 160 Scalehouse Loop, Suite 160, Bend, OR 97702-1284 | 2015-04-15 |
| 1538412549 | Daniel Kriz | Psychologist | Ne 2542 Courtney Drive, Bend, OR 97701 | 2012-10-16 |
| 1891043360 | Margaret Arnold Stoeckel | Psychologist | 5041 Se Taylor St, Portland, OR 97215-2624 | 2012-08-15 |
| 1629305545 | Cynthia Marie Anderson | Psychologist | 2085 Sunrise Blvd, Eugene, OR 97405-5524 | 2009-11-13 |
| 1851532139 | Charlene Eickholt | Psychologist | 1405 Ne Broadway, Suite # 200, Portland, OR 97232-1497 | 2009-03-16 |
| 1497904924 | Ian Alexander Shinney | Psychologist | 2611 Erin Way, Eugene, OR 97408-4713 | 2008-09-09 |
| 1316092349 | Whitney Vail | Psychologist | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2007-01-23 |
| 1215081716 | Holly Linn Crossen | Psychologist | 1130 Sw Morrison St Ste 618, Portland, OR 97205-2217 | 2007-01-22 |
| 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.