Mr Leisandro Luengo Bastarrica, MD in Portland, OR - Student in an Organized Health Care Education/Training Program

Mr Leisandro Luengo Bastarrica, MD is a Student In An Organized Health Care Education/training Program based in Portland, Oregon. Mr Leisandro Luengo Bastarrica is licensed to practice in Oregon (license number ) and his current practice location is 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 494-8211.

NPI number for Mr Leisandro Luengo Bastarrica is 1215188651 and his current mailing address is 3181 Sw Sam Jackson Park Road, Ohsu, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215188651.

Contact Information

	Mr Leisandro Luengo Bastarrica, MD
	3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011
	(503) 494-8211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Leisandro Luengo Bastarrica
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215188651
Provider Enumeration Date: 10/03/2008
Last Update Date: 04/22/2010

Medical Identifiers

Medical identifiers for Mr Leisandro Luengo Bastarrica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215188651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Leisandro Luengo Bastarrica is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Leisandro Luengo Bastarrica, MD 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 Ph: (503) 494-8211	Mr Leisandro Luengo Bastarrica, MD 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 Ph: (503) 494-8211

Mr Leisandro Luengo Bastarrica, MD - Counselor in Portland, OR