Provider Demographics
NPI:1902606023
Name:GEHRKE, LEAANN (RN)
Entity type:Individual
Prefix:
First Name:LEAANN
Middle Name:
Last Name:GEHRKE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:LEAANN
Other - Middle Name:
Other - Last Name:GEHRKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:372 SE MANZANITA DR
Mailing Address - Street 2:
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741-6800
Mailing Address - Country:US
Mailing Address - Phone:503-545-2180
Mailing Address - Fax:
Practice Address - Street 1:372 SE MANZANITA DR
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-6800
Practice Address - Country:US
Practice Address - Phone:503-545-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201404410RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health