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Individual

CHRIS MCLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 773-5819
Mailing address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 773-5819

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106S00000X
Behavior Technician
225400000X
Rehabilitation Practitioner

Other

Enumeration date
11/27/2013
Last updated
06/27/2024
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