Individual
JAMIE LEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5327 NE GLISAN ST, PORTLAND, OR 97213-3060
(503) 730-3836
Mailing address
12322 SE LONG ST, PORTLAND, OR 97236-7712
(503) 730-3836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7449
OR
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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