Individual provider · Type 1 NPI

Leslie Catherine Tietjen

Nurse Practitioner · Medford, OR

NPI number 1164071858 Active

Practice location

520 Medical Center Dr Ste 200
Medford, OR 97504-4314

Fax (541) 930-7220

Mailing address

520 Medical Center Dr, Ste 200
Medford, OR 97504-4314

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X7010 (MN)
Nurse Practitioner Primary 363L00000X202004995NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

12 other providers at this address

Other nurse practitioner providers in Medford

See all in Medford →

About NPI 1164071858

Leslie Catherine Tietjen's National Provider Identifier is 1164071858, issued on Sep 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Aug 1, 2023.