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Mr. Leisandro Luengo Bastarrica, MD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1215188651

Leisandro Luengo Bastarrica is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Leisandro Luengo Bastarrica practices in Portland, OR and has the professional credentials of MD. The NPI Number for Leisandro Luengo Bastarrica is 1215188651 and holds a License No. (Oregon).

The current practice location address for Leisandro Luengo Bastarrica is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8211.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215188651
Provider Name
Leisandro Luengo Bastarrica
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239
Phone Number
503-494-8211
Fax Number
Provider Enumeration Date
10/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-8211
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-8211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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