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Bakura Leib-Reiser

Social Worker in Portland, OR. Individual provider (NPI-1).

NPI number1003338005
StatusActive
Last updated in NPPESJul 11, 2017

Details

NPI
1003338005
Entity type
Individual (NPI-1)
Name
Bakura Leib-Reiser
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2017
Last updated
Jul 11, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

7632 Se Flavel St
Portland, OR 97206-7813

Phone 503-467-0581 · Fax 503-233-6993

Mailing address

707 Ne Couch St
Portland, OR 97232-2922

Phone 503-542-4603 · Fax 503-233-6093

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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