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Individual

KOURTNEY ALEXANDRA MCLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
4101 NE DIVISION ST STE 100, GRESHAM, OR 97030-4617
(530) 666-3808
(503) 666-6835

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
174400000X
Specialist
Primary

Other

Enumeration date
06/10/2021
Last updated
10/27/2023
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