Individual
LEAH K GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 230-9877
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141524
—
WA
05
—
500718828
—
OR
Enumeration date
08/11/2016
Last updated
05/10/2021
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