Gaedeke, Leah Westerdahl

Gaedeke, Leah Westerdahl is an individual health care provider with primary practice located at 12672 Nw Barnes Rd. Suite 100 , Portland OR 97229. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gaedeke, Leah Westerdahl can be contacted via phone (503) 747-6376.

Contact Information

Primary practice address
12672 Nw Barnes Rd. Suite 100 Portland OR 97229
Phone: (503) 747-6376
Fax: (503) 530-8406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450116NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024165811 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 200450116NP-PP Oregon

Profile Details

NPI number 1336185677
LBN Legal business name Gaedeke, Leah Westerdahl
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336185677 NPPES
Oregon Other P00818471 RR MEDICARE - PHS
Oregon MEDICAID 272568 RR MEDICARE - PHS

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