Individual
LESLEY ANNE BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 SE ANKENY ST STE B, PORTLAND, OR 97214-1215
(503) 383-9643
(503) 214-5545
Mailing address
2410 SE 10TH AVE, PORTLAND, OR 97214-4624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
104100000X
Social Worker
Primary
A18368
OR
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
07/03/2025
Last updated
07/17/2026
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