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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3181 SW SAM JACKSON PARK ROAD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| 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 |
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| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 |
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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.