Leavens, Kareen

Leavens, Kareen is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 440 , Portland OR 97225-6631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Leavens, Kareen can be contacted via phone (503) 935-8500.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 440 Portland OR 97225-6631
Phone: (503) 935-8500
Fax: (503) 935-8505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA181933 Oregon

Profile Details

NPI number 1750780847
LBN Legal business name Leavens, Kareen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated Nov 22nd, 2023 - about 3 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 1750780847 NPPES
Washington MEDICAID 2086849
Washington MEDICAID 500732187

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