MEDICARE: WILLIAM LEISSNER PSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		OR

General Provider Information

NPI Number	:	1205287026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LEISSNER PSS

Provider Business Mailing Address
First Line	:	30 NE MLK BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2941
Country	:	US
Telephone Number	:	503-232-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 NE MLK
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2941
Country	:	US
Telephone Number	:	503-232-1099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	05/22/2020

Similar Medicare Providers

1972467736 — LILA BENSKY LMSW, QMHP
Practice Location Address:

30 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
97232-2941

Practice Phone: 503-232-1099
Practice Fax:

1124310305 — TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Practice Location Address:

30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR
97232-2941

Practice Phone: 503-232-1099
Practice Fax: 503-232-3854

1811289002 — MS. EDNA ANN SLATE
Practice Location Address:

20 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
97232-2941

Practice Phone: 541-350-8254
Practice Fax:

1376887554 — MICHELLE D LEMEN
Practice Location Address:

30 NE MLK BLVD
PORTLAND, OR
97232-2941

Practice Phone: 503-232-1099
Practice Fax: 503-232-3854

1801202528 — JULIE M. PETERSON PMHNP
Practice Location Address:

30 NE MLK JR BLVD
PORTLAND, OR
97232-2941

Practice Phone: 503-232-1099
Practice Fax: 503-232-3854

1588105779 — DONNA OGLESBY
Practice Location Address:

30 NE MLK BLVD
PORTLAND, OR
97232-2941

Practice Phone: 503-232-1099
Practice Fax:

Directions to “ WILLIAM LEISSNER PSS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.