Individual
LEAH IRENE LILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
(503) 335-5974
Mailing address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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