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

Leslie Catherine Tietjen

Individual provider Nurse Practitioner · NPI 1164071858

Leslie Catherine Tietjen is a Nurse Practitioner in Medford, Oregon. Qualified in 2019, 7 years ago. Practices with Asante Physician Partners, a 225-clinician group and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
7
Licensed in
MN, OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

520 Medical Center Dr Ste 200
Medford, OR 97504-4314
Phone: (541) 930-7222
Fax: (541) 930-7220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202004995NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 7010 (MN)

Record details

NPI number1164071858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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