Healthcare Provider Details

I. General information

NPI: 1568312551
Provider Name (Legal Business Name): FRANKY LLEWAID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 SE ANKENY ST STE B
PORTLAND OR
97214-1215
US

IV. Provider business mailing address

2410 SE 10TH AVE
PORTLAND OR
97214-4624
US

V. Phone/Fax

Practice location:
  • Phone: 503-383-9643
  • Fax: 503-214-5545
Mailing address:
  • Phone: 503-383-9643
  • Fax: 503-214-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: