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

Joanna L Lezak, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1366445967

Joanna L Lezak, ANP is a Nurse Practitioner in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2005
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Practice location Address checks out

1130 NW 22nd Ave Ste 110
Portland, OR 97210-2900
Phone: (503) 413-3940
Fax: (503) 413-1860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 200450078NP (OR)

Record details

NPI number1366445967
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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