| Melissa A Leedle, MD | |
|
10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | |
| (503) 659-0880 | |
| (503) 513-7425 |
| Full Name | Melissa A Leedle |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750647434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A127072 (California) | Secondary |
| 207Q00000X | Family Medicine | MD 60579852 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD178434 (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Leedle, MD 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880 | Melissa A Leedle, MD 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880 |
Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 | |
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880 | |
Allyson Adams, Family Medicine Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 | |
Jon Peters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 | |
Carla Jean Bowman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445 | |
Dr. Benjamin Jacob Colburn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-494-8211 |