Mr Lee W Porter, NP, CNS-PMH is a
Nurse Practitioner - Psychiatric/mental Health physician based in Keizer, Oregon. Mr Lee W Porter is licensed to practice in Oregon (license number 202002489CNS-PP) and his current practice location is 5305 River Rd N Ste B, Keizer, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 896-1555.
NPI number for Mr Lee W Porter is 1013932425 and his current mailing address is 65 Division Ave Unit 299, Eugene, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013932425.
Physician's Profile
| Full Name | Mr Lee W Porter |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013932425
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Mr Lee W Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013932425 | NPI | - | NPPES |
| 3072541580 | Other | OR | PECOS PAC ID |
| I20160510002557 | Other | OR | PECOS PAC ENROLLMENT ID |
| 131VX | Other | NC | BLUE CROSS PROVIDER ID |
| 500709395 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 202002489CNS-PP (Oregon) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 163552 (North Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 201501835NP-PP (Oregon) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 201501835NP-PP (Oregon) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 202002489CNS-PP (Oregon) | Secondary |
| 364SP0811X | Clinical Nurse Specialist - Psychiatric/mental Health, Chronically Ill | 201501835NP-PP (Oregon) | Secondary |
| 364SP0813X | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric | 202002489CNS-PP (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202002489CNS-PP (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 Lee W Porter 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 Lee W Porter, NP, CNS-PMH
65 Division Ave Unit 299,
Eugene, OR 97404-2485
Ph: (541) 896-1555 | Mr Lee W Porter, NP, CNS-PMH
5305 River Rd N Ste B,
Keizer, OR 97303-5324
Ph: (541) 896-1555 |
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