Healthcare Provider Details

I. General information

NPI: 1508785031
Provider Name (Legal Business Name): LEAH MARIE SCHECHTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 NE MARKET DR
FAIRVIEW OR
97024-7000
US

IV. Provider business mailing address

1875 SE CENTURION WAY
GRESHAM OR
97080-6430
US

V. Phone/Fax

Practice location:
  • Phone: 503-660-0600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number201906396LPN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: