Look up the most recent NPI and PECOS records

Kirstie Macmillen Lechich

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as KIRSTIE LECHICH.

Based on the most recent information from CMS, provider Kirstie Macmillen Lechich is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1497283717
Provider Type
Individual
Full Name
Lechich, Kirstie Macmillen
Gender
Female

Sole Proprietor
No
Enumeration Date
5/31/2017
Last Updated
9/14/2022

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 418-5750

(503) 418-5793

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 418-5750

(503) 418-5793

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA212437 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 54474 California

Kirstie Macmillen Lechich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lyman, Alissa

Gorski, Kirsten

Myers, Robert A

Frey, Julia Alice

Egan, Lisa Anne

Makarachi, Teardaad

Benjamin, Christopher

Ballard, Cody Lee

Myers, Jeffrey

Rozek, Jennifer Christine