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Individual

LEAH WESTERDAHL GAEDEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
600 COUNTRY CLUB RD, EUGENE, OR 97401-2240
(541) 228-3400
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024165811
VA
363LA2100X
Acute Care Nurse Practitioner
200450116NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
200450116NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272568
OR
01
P00818471
RR MEDICARE - PHS
OR
Enumeration date
06/22/2006
Last updated
09/21/2025
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