{"npi":"1891021960","type":"NPI-1","status":"active","name":{"display":"Dr. Phillip Letourneau M.D.","other":[],"first":"PHILLIP","last":"LETOURNEAU","middle":"ANDREW","credential":"M.D."},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"2086S0102X","description":"Surgical Critical Care Physician","primary":false,"state":"OR","license":"MD166131"},{"code":"208600000X","description":"Surgery","primary":true,"state":"OR","license":"MD166131"}]},"addresses":[{"purpose":"LOCATION","street_1":"10330 SE 32ND AVE STE 210","city":"MILWAUKIE","state":"OR","postal_code":"972226594","country_code":"US","phone":"5037236525"},{"purpose":"MAILING","street_1":"PO BOX 3158","city":"PORTLAND","state":"OR","postal_code":"972083158","country_code":"US","phone":"5032156494"}],"license":{"state":"OR","number":"MD166131"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500627898","state":"OR","issuer":null},{"type_code":"01","label":"Other","value":"8L6630","state":"TX","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150728006118","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"OR","pac_id":"1658409040"}]},"enumeration_date":"2009-10-26","last_updated":"2023-02-10","_meta":{"source":"NPPES","snapshot_date":"2023-02-10","doc_url":"https://findmynpi.com/api"}}