| Leslie Gustafson, PA-C | |
|
17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | |
| (503) 872-2440 | |
| Not Available |
| Full Name | Leslie Gustafson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 17550 Provost St Ste 201, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922405059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA170542 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1344 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Gustafson, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Leslie Gustafson, PA-C 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 Ph: (503) 872-2440 |
Amanda Leigh Barclay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034 Phone: 503-872-2440 | |
Ms. Julie Lyn Cramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 541-969-7466 Fax: 855-529-7962 | |
Ms. Stacy R. Hampton, PHARM.D., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035 Phone: 541-808-1093 Fax: 541-738-2106 | |
Megan Elaine Hunt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Colin Zelimir Barich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
James Herbert Moorman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035 Phone: 503-473-6345 | |
Mr. Anthony Lance Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 |