Individual
LESLIE ANN GELLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(971) 290-8458
Mailing address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(971) 290-8458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5305
OR
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
05
—
096511
—
OR
Enumeration date
01/13/2010
Last updated
01/05/2024
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