DR. CHARLES NORVAL DE LEEUW


Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
Phone: 5034948211

DR. CHARLES NORVAL DE LEEUW (NPI# 1831726603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831726603
Entity Type Individual
Full Name DR. CHARLES NORVAL DE LEEUW
Credential MD/MS, PHD
Practice Address 3181 Sw Sam Jackson Park Road
Portland
OR 97239
Mailing Address 3181 Sw Sam Jackson Park Rd
Portland
OR 97239-3098
Practice Telephone 5034948211
Enumeration Date 2020-03-23
Last Update Date 2020-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3181 SW SAM JACKSON PARK ROAD
City PORTLAND
State OR
Zip Code 97239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487653796 Susan I Vangorder Anesthesiology 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239-3098 2005-07-19
1447888193 Jared Schaefer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2020-03-30
1740742055 Taesoo Kim Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2019-04-04
1518429836 Ellen Walford Green Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2019-04-04
1760944169 Joanna Jacobs Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2019-04-03
1225597388 Nattapron Tun Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2019-03-18
1235625435 Arisa Takeuchi Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2018-07-11
1235634619 Patrick Anthony Hogan Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, 3181 Sw Sam Jackson Park Rd., L-579, Portland, OR 97239 2018-03-27
1356870190 Colleen Osak Cooper Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 2017-06-06
1134655830 Erik Woelber Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 2017-05-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly Student in an Organized Health Care Education/Training Program 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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