MR. LEASEL WAYNE EVANS RN MSN PMHNP-BC NPI 1275939043

NPI Information

  • NPI: 1275939043
  • Provider Name: MR. LEASEL WAYNE EVANS, RN, MSN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21900 WILLAMETTE DR STE 202
    WEST LINN, OR
    ZIP 97068
  • Phone: (503) 653-0631

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NPI Details

MR. Leasel Wayne Evans, RN, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in West Linn, OR. MR. Leasel Wayne Evans, RN, MSN, PMHNP-BC NPI is 1275939043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21900 WILLAMETTE DR STE 202
WEST LINN, OR
ZIP 97068-284
Phone: (503) 653-0631
Fax: (503) 653-1464

The NPI 1275939043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health201709151NP-PPOREGONYes
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent201406240RNOREGONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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