Kelly R Leaf (NPI# 1023071016, PAC ID# 9234199829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023071016 |
| PAC ID by PECOS | 9234199829 |
| Professional Enrollment ID | I20041018000936 |
| Full Name | Kelly R Leaf |
| Address |
17600 Swalexander St Beaverton OR 97003-4411 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17600 Swalexander St, Beaverton, OR 97003-4411 |
| Street Address |
17600 SWALEXANDER ST |
| City | BEAVERTON |
| State | OR |
| Zip | 97003-4411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serana Kathryn Chester | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Laura Renteria | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Ezra Azhar | Family Practice | 3415 Sw 187th Ave, Beaverton, OR 97003-3106 | |
| Jacqueline K Ng | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Nisha Nagarkatti-gude | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Devin M Gattey | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Robert Hugh Brumley | Optometry | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Susan Tobey Denman | Dermatology | 18345 Sw Alexander St, Suite B, Aloha, OR 97003-3960 | |
| Anthony B Bouneff | Oral Surgery | Beaverton Oral Surgeons Equipment LLC | 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97003-4168 |
| Jennifer L Cannon | Physical Therapy | Therapydia, Inc | 3925 Sw 153rd Dr, Suite 210, Beaverton, OR 97003-4176 |
| Find all physicians in zip 97003 | |||
| City | BEAVERTON |
| Zip Code | 97003 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BEAVERTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kelly R Leaf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.