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Individual

MS. NADINE LEAVITT SIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
722 NE 162ND AVE, ALBERTINA KERR CENTERS, PORTLAND, OR 97230
(503) 253-4205
Mailing address
8042 SE CLAY ST, PORTLAND, OR 97215
(503) 774-2828

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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