# LESLIE GOLDSTEIN, MSPT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326277039
- **Authorized official:** LESLIE GOLDSTEIN P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 236-5423

## Contact information

- **Practice address:** 833 SW 11TH AVE, PORTLAND, OR 97205-2125
- **Practice address phone:** (503) 236-5423
- **Mailing address:** 833 SW 11TH AVE, PORTLAND, OR 97205-2125
- **Mailing address phone:** (503) 236-5423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009