MS. LESLIE DIANE GREGORY (NPI# 1689632457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689632457 |
| Entity Type | Individual |
| Full Name | MS. LESLIE DIANE GREGORY |
| Credential | P.A.C |
| Practice Address |
8332 Se 13th Ave Portland OR 97202-7102 |
| Practice Telephone | 5035959300 |
| Practice Fax Number | 5035959301 |
| Mailing Telephone | 5035959300 |
| Mailing Fax Number | 5035959301 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00823 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 268490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265813695 | Leslie Gregory | Speech-Language Pathologist | 499 W Boundry, 275 W. Main, Kansas, OK 74347-1662 | 2015-06-11 |
| 1225140882 | Leslie Gregory | Social Worker | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-08-31 |
| Street Address |
8332 SE 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686554 | Sellwood Medical Clinic | Internal Medicine | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-02-07 |
| 1790333136 | Casey Ryan Magis-agosta | Nurse Practitioner | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2019-08-28 |
| 1992102917 | Merinda Sterner | Physician Assistant | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2014-11-20 |
| 1255745089 | Austin Elaine Karp-evans | Marriage & Family Therapist | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2014-06-19 |
| 1497044010 | Brittany Jones Petering | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2011-04-05 |
| 1336467034 | Jeffrey Meyrowitz | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2010-05-06 |
| 1407083215 | Kelly Sheridan Wright | Internal Medicine | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2009-06-18 |
| 1851466445 | Tara Ann Schwab | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-11-21 |
| 1518902337 | Amanda Colleen Krbec | Nurse Practitioner | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| Find all providers in PORTLAND | ||||
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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.