LESLIE L HALVORSON (NPI# 1831147313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831147313 |
Entity Type | Individual |
Full Name | LESLIE L HALVORSON |
Other Name | LESLIE L OVERSTREET |
Credential | PA C |
Practice Address |
1300 Goldie Road Oakharbor WA 98277 |
Practice Telephone | 3606795590 |
Practice Fax Number | 3606751440 |
Mailing Telephone | 3606795590 |
Mailing Fax Number | 3606751440 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
PA10003213 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1300 GOLDIE ROAD |
City | OAKHARBOR |
State | WA |
Zip Code | 98277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
Find all providers in zip 98277 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720521800 | Hee Jeong Kim | Clinical Nurse Specialist | 22618 Highway 99, Ste 106, Edmonds, WA 98026-8395 | 2016-11-22 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1841476512 | John None Joseph | Clinical Nurse Specialist | 909 Georgiana St, Port Angeles, WA 98362-3911 | 2008-01-12 |
1700077401 | Snoqualmie Tribe Health Services | Clinical Nurse Specialist | 8130 Railroad Avenue, Snoqualmie, WA 98065 | 2007-08-07 |
1740480896 | Iona M Parker | Clinical Nurse Specialist | 1105 Union Ave, Steilacoom, WA 98388-3011 | 2007-07-18 |
1114339389 | Shannon M Marsh | Clinical Nurse Specialist | 176 1st Ave N, Po Box N, Ilwaco, WA 98624-9137 | 2014-05-22 |
1629320106 | Tehea Kae Elsethagen | Clinical Nurse Specialist | 10121 W Clearwater Ave, Suite 102, Kennewick, WA 99336-3500 | 2012-10-09 |
1619232287 | Murphy Family, Sports, and Wellness | Clinical Nurse Specialist | 4905 108th St Sw, Lakewood, WA 98499-3724 | 2012-07-10 |
1548535255 | Praxis-health, Pllc | Clinical Nurse Specialist | 1546 Reservation Rd Se, Olympia, WA 98513-9415 | 2012-03-13 |
1073881397 | Teri L Walker | Clinical Nurse Specialist | 2960 Limited Ln Nw, Olympia, WA 98502-4541 | 2011-12-01 |
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.