Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bruce Leewiwatanakul, DO

Individual provider Psychiatry Physician · NPI 1821521279

Dr. Bruce Leewiwatanakul, DO is a Psychiatry Physician in Portland, Oregon. Works from 3 locations. Licensed in Oregon and Pennsylvania.

Licensed in
OR, PA
In the registry since
2017
Specialties on file
6
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd OHSU
Portland, OR 97239
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1225 Ne 2nd Ave, Portland, OR 97232-2003 — (503) 944-8000
  • 3401 Civic Center Blvd Division Of Post Peds Portal, Philadelphia, PA 19104 — (215) 327-4438

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence DO219810 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence OS021227 (PA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence OS021227 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence DO197940 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence DO219810 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821521279
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

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