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DR. BRUCE LEEWIWATANAKUL DO
NPI 1821521279
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since April 04, 2017PECOS Enrolled
3181 SW SAM JACKSON PARK RD., OHSU, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Aug 15, 2024, Jul 13, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Bruce Leewiwatanakul Do NPPES

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

DR. BRUCE LEEWIWATANAKUL DO (NPI 1821521279) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (DO219810) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821521279
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. BRUCE LEEWIWATANAKULCredential: DO
Location Address3181 SW SAM JACKSON PARK RD., OHSUPortland, OR 97239
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateApril 4, 2017
Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1821521279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in OR · DO219810✔ Licensed in PA · OS021227
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License DO197940 (OR)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OS021227 (PA), DO219810 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3181 SW SAM JACKSON PARK RD., Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11225 NE 2nd AvePortland, OR 97232-2003 · Phone (503) 944-8000
Location 23401 Civic Center Blvd Division of Post Peds Portal, Fellowship in General & Child and Adolescent PsychiatryPhiladelphia, PA 19104 · Phone (215) 327-4438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Leewiwatanakul Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN KYLE NIXON
Physician Assistant (Medical)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7551
PETER STANLEY JONES M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7551
DR. KENNETH RICHARDS STEVENS JR. M.D.
Radiology (Radiation Oncology)
3181 SW SAM JACKSON PARK RD., KPV4, RADIATION MEDICINE
PORTLAND, OR 97239
Multnomah County (503) 494-8756
LINDA ANNE BRYANS CCC-SLP
Speech-Language Pathologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-2421
IDA SHEEVAUN KHAKI MD
Pediatrics
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Multnomah County (503) 494-8211
ALEXANDER C. AUL DNP, CRNA
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641
DR. RAPHAEL MICAH BYRNE M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. EUGENE LLOYD HIEBERT MD
Anesthesiology (Pain Medicine)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Multnomah County (503) 494-7641

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 Bruce Leewiwatanakul's NPI number?

The NPI number for Bruce Leewiwatanakul is 1821521279. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Bruce Leewiwatanakul located?

Bruce Leewiwatanakul practices at 3181 SW Sam Jackson Park Rd. Ohsu, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Bruce Leewiwatanakul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bruce Leewiwatanakul enrolled in Medicare?

Yes. Bruce Leewiwatanakul is registered in the Medicare PECOS enrollment system.

What insurance does Bruce Leewiwatanakul accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Bruce Leewiwatanakul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Leewiwatanakul was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.