Individual
LESLIE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2612 SE CLINTON ST, PORTLAND, OR 97202-1241
(971) 506-9298
Mailing address
2612 SE CLINTON ST, PORTLAND, OR 97202-1241
(971) 506-9298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CL 60470615
WA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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