Individual provider · Type 1 NPI

Meganne E. Leach, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1700933173 Active

Practice location

707 SW Gaines St, Mail Code Cdrcp
Portland, OR 97239-2901

Fax (503) 494-2307

Mailing address

707 S.w. Gaines St, Mail Code: Cdrcp
Portland, OR 97239-2984

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X201709698NP-PP (OR)
Pediatric Nurse Practitioner 363LP0200XRN1022483 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1700933173

Meganne E. Leach, PNP's National Provider Identifier is 1700933173, issued on Jan 5, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Dec 5, 2017.