{"npi":"1922405059","type":"NPI-1","status":"active","name":{"display":"Leslie Gustafson PA-C","other":[],"first":"LESLIE","last":"GUSTAFSON","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"OR","license":"PA170542"}]},"addresses":[{"purpose":"LOCATION","street_1":"17550 PROVOST ST STE 201","city":"LAKE OSWEGO","state":"OR","postal_code":"970345199","country_code":"US","phone":"5038722440"},{"purpose":"MAILING","street_1":"PO BOX 3158","city":"PORTLAND","state":"OR","postal_code":"972083158","country_code":"US","phone":"5032156494"}],"license":{"state":"OR","number":"PA170542"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150611003477","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OR","pac_id":"5799096087"},{"enrlmt_id":"I20160203002320","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WA","pac_id":"5799096087"}]},"enumeration_date":"2014-12-04","last_updated":"2021-02-12","_meta":{"source":"NPPES","snapshot_date":"2021-02-12","doc_url":"https://findmynpi.com/api"}}