Individual
CONSTANCE CORA LEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222-2185
(503) 786-1711
(503) 786-9919
Mailing address
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222-2185
(503) 786-1711
(503) 786-9919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000027822N6
OR
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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