Individual provider · Type 1 NPI

Bruce Leewiwatanakul, DO

Child & Adolescent Psychiatry Physician · Portland, OR

NPI number 1821521279 Active

Practice location

3181 SW Sam Jackson Park Rd., Ohsu
Portland, OR 97239

Call (503) 494-8211 Map

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 1225 NE 2nd Ave, Portland, OR 97232-2003 · (503) 944-8000
  • 3401 Civic Center Blvd Division Of Post Peds Portal, Fellowship In General & Child And Adolescent Psychiatry, Philadelphia, PA 19104 · (215) 327-4438

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XOS021227 (PA)
Child & Adolescent Psychiatry Physician 2084P0804XOS021227 (PA)
Pediatrics Physician 208000000XDO197940 (OR)
Child & Adolescent Psychiatry Physician Primary 2084P0804XDO219810 (OR)
Psychiatry Physician 2084P0800XDO219810 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1821521279

Bruce Leewiwatanakul, DO's National Provider Identifier is 1821521279, issued on Apr 4, 2017. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2025.