Mr Lee W Porter, NP, CNS-PMH - Medicare Nurse Practitioner in Keizer, OR

Mr Lee W Porter, NP, CNS-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Keizer, Oregon. His current practice location is 5305 River Rd N Ste B, Keizer, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 896-1555.

Mr Lee W Porter is licensed to practice in Oregon (license number 202002489CNS-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013932425.

Contact Information

Mr Lee W Porter, NP, CNS-PMH
5305 River Rd N Ste B,
Keizer, OR 97303-5324
(541) 896-1555
Not Available



Physician's Profile

Full NameMr Lee W Porter
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5305 River Rd N Ste B, Keizer, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013932425
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072541580
  • Enrollment ID: I20160510002557

Medical Identifiers

Medical identifiers for Mr Lee W Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013932425NPI-NPPES
3072541580OtherORPECOS PAC ID
I20160510002557OtherORPECOS PAC ENROLLMENT ID
131VXOtherNCBLUE CROSS PROVIDER ID
500709395MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0000XPain Medicine - Pain Medicine 202002489CNS-PP (Oregon)Secondary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology 163552 (North Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health 201501835NP-PP (Oregon)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 201501835NP-PP (Oregon)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 202002489CNS-PP (Oregon)Secondary
364SP0811XClinical Nurse Specialist - Psychiatric/mental Health, Chronically Ill 201501835NP-PP (Oregon)Secondary
364SP0813XClinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric 202002489CNS-PP (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202002489CNS-PP (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lee W Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Lee W Porter, NP, CNS-PMH
65 Division Ave Unit 299,
Eugene, OR 97404-2485

Ph: (541) 896-1555
Mr Lee W Porter, NP, CNS-PMH
5305 River Rd N Ste B,
Keizer, OR 97303-5324

Ph: (541) 896-1555

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