IndividualActive
Christina Leitzel, BS BCO BADO
NPI 1689199317 · Ocularist · Portland, OR
Provider details
- NPI number
- 1689199317
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- BS BCO BADO
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Practice location
2456 Nw Northrup St Ste 1a
Portland, OR 97210-3253
Phone: (503) 229-8490
Fax: (503) 224-0740
Approximate (ZIP-level) locationGet directions
Mailing address
2456 Nw Northrup St Ste 1a
Portland, OR 97210-3253
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.