Individual
MS. OLGA SERGIEVNA LEONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
14132 SE TIBBETTS ST, PORTLAND, OR 97236-2637
(503) 869-9422
Mailing address
14132 SE TIBBETTS ST, PORTLAND, OR 97236-2637
(503) 869-9422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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