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LESLIE WIERSUM
NPI 1598018269
Specialist in Kent, WA

Active since October 18, 2012
12033 SE 256TH STREET, KENT, WA 98030(253) 373-7000 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Leslie Wiersum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE WIERSUM (NPI 1598018269) is an individual specialist in Kent, Washington, licensed in Washington (OT60174905) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1598018269
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLESLIE WIERSUM
Location Address12033 SE 256TH STREETKent, WA 98030
Mailing Address222 Queen Anne AveSeattle, WA 98109
Phone(253) 373-7000
Sole ProprietorNo
Enumeration DateOctober 18, 2012
✔ NPI 1598018269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · OT60174905
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12033 SE 256TH STREET, Kent, WA 98030
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Wiersum's NPI number?

The NPI number for Leslie Wiersum is 1598018269. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Leslie Wiersum located?

Leslie Wiersum practices at 12033 SE 256th Street, Kent, WA 98030. The listed phone number is (253) 373-7000.

What is Leslie Wiersum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Leslie Wiersum was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.