Individual
KANDI LEONHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 NE DIVISION ST STE 100, GRESHAM, OR 97030-4617
(503) 666-3808
Mailing address
4101 NE DIVISION ST STE 100, GRESHAM, OR 97030-4617
(503) 666-3808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
07/21/2022
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