Individual
MRS. LELENG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 750-0701
Mailing address
1609 NE 65TH AVE, PORTLAND, OR 97213-4804
(503) 750-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2881
OR
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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