DR. LEON BRUCE MARSHALL D.O . NPI 1487703450

NPI Information

NPI: 1487703450
Provider Name: DR. LEON BRUCE MARSHALL, D.O .
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1040 NW 22ND AVE
SUITE 420
PORTLAND, OR
ZIP 97210
Phone: (503) 488-2424
Get Directions

DR. Leon Bruce Marshall, D.O . is a neurology psychiatry neurology in Portland, OR with 34 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Leon Bruce Marshall, D.O . NPI is 1487703450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1990

The provider's business location address is:

1040 NW 22ND AVE
SUITE 420
PORTLAND, OR
ZIP 97210-057
Phone: (503) 488-2424
Fax: (503) 229-7105

The NPI 1487703450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 9/24/2013.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	5101010950	MICHIGAN	No
2	2084N0400X	Psychiatry & Neurology	Neurology	DO29055	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G14560	MEDICARE UPIN	MICHIGAN
2	P00141408	OTHER		PALMETTO
3	4507651	MEDICAID	MICHIGAN
4	157550	MEDICARE PIN	OREGON
5	1587703450	MEDICAID	WASHINGTON
6	ON94780	MEDICARE ID-TYPE UNSPECIFIED		PART B
7	500628636	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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