Individual provider · Type 1 NPI

Leslie Gustafson, PA-C

Physician Assistant · Lake Oswego, OR

NPI number 1922405059 Active

Practice location

17550 Provost St Ste 201
Lake Oswego, OR 97034-5199

Call (503) 872-2440 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 115 NE May Ln, Mcminnville, OR 97128-9272 · (503) 472-1338

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA170542 (OR)

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, orde…

10 other providers at this address

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About NPI 1922405059

Leslie Gustafson, PA-C's National Provider Identifier is 1922405059, issued on Dec 4, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Feb 12, 2021.