Individual
LEAH RACHELLE VALDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Mailing address
8211 SE IRIS ST, PORTLAND, OR 97267-5386
(503) 490-2909
(503) 656-8080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10400
OR
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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