Individual
LESLEY SRIKANTAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 SE DAVIS AVE, BEND, OR 97702-1333
(541) 516-0124
Mailing address
70 SW CENTURY DR STE 100, BEND, OR 97702-3558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6641
OR
Other
Enumeration date
03/03/2018
Last updated
09/29/2025
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