| Miss Leslie Anne White Moon, OTR/L | |
|
9200 W Stark St, Portland, OR 97229-6516 | |
| (503) 943-9498 | |
| Not Available |
| Full Name | Miss Leslie Anne White Moon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 9200 W Stark St, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710744727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 505083 (Oregon) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Leslie Anne White Moon, OTR/L 9200 W Stark St, Portland, OR 97229-6516 Ph: () - | Miss Leslie Anne White Moon, OTR/L 9200 W Stark St, Portland, OR 97229-6516 Ph: (503) 943-9498 |
Ms. Margaret Wolf, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 707 Sw Gaines St, Portland, OR 97239 Phone: 503-494-8095 | |
Steps 2 Grow Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2870 Nw Cornell Rd, Portland, OR 97210 Phone: 503-720-4634 Fax: 844-250-7399 | |
Pido Tran Maas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
Kristy K Mcfarland, MOT, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-5570 | |
Kari A Jones, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-802-5318 | |
Sara Kelly, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 4105, Portland, OR 97208 Phone: 866-907-1068 Fax: 425-917-9141 | |
Brandie Ettinger, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7204 Sw Durham Road, Suite 100, Portland, OR 97224 Phone: 503-941-9869 Fax: 503-352-5555 |