Individual
LESLEY E CRAFTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 SW 5TH AVE, PORTLAND, OR 97204-3604
(323) 205-7088
Mailing address
7642 SE COOPER ST, PORTLAND, OR 97206-7172
(503) 966-9785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4383
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2007
Last updated
08/01/2025
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