Individual
LELAND HERMAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
Mailing address
3576 VERNON WAY, EUGENE, OR 97401-5334
(541) 206-1301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11045
OR
Other
Enumeration date
02/09/2011
Last updated
11/27/2024
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