Individual
KIMBERLY MCLEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302
(503) 371-4160
(503) 375-9727
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 597-9023
(503) 375-9727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-09-01
OR
Other
Enumeration date
05/13/2014
Last updated
06/14/2019
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