| Natalie Renee Leustek, RD | |
|
700 Ne 87th Ave, Suite 280, Vancouver, WA 98664-1913 | |
| (360) 882-2778 | |
| (360) 604-1786 |
| Full Name | Natalie Renee Leustek |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 700 Ne 87th Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598933814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 896957 (Michigan) | Secondary |
| 133V00000X | Dietitian, Registered | DI60427724 (Washington) | Primary |
| Provider Name | The Vancouver Clinic Inc Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Renee Leustek, RD 700 Ne 87th Ave, Suite 280, Vancouver, WA 98664-1913 Ph: (360) 882-2778 | Natalie Renee Leustek, RD 700 Ne 87th Ave, Suite 280, Vancouver, WA 98664-1913 Ph: (360) 882-2778 |
Patricia K Mortell, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-397-8000 Fax: 360-397-8110 | |
Jan M Apland-curtis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, Building 17, Vancouver, WA 98661 Phone: 360-397-8000 Fax: 360-397-8110 | |
Ms. Thea Lynch, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E 4th Plain Blvd, Vancouver, WA 98661 Phone: 510-759-4746 | |
Jennifer M Prouse, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-2559 Fax: 360-514-3590 | |
Caitlin Carr, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Jennifer J Newman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-3475 Fax: 360-514-3590 | |
Mrs. Sydney Davis, MDA, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Ne 92nd Ave, Vancouver, WA 98664 Phone: 360-514-2320 |