Organization
ENERGYMATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY V ALTER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(503) 286-1004
Entity
Organization
Contact information
Practice address
8532 N IVANHOE ST STE 203, PORTLAND, OR 97203-4827
(503) 286-1004
(503) 286-7909
Mailing address
PO BOX 12553, PORTLAND, OR 97212-0553
(503) 286-1004
(503) 286-7909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1763
OR
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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