Individual
LESLIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6433 N CURTIS AVE, PORTLAND, OR 97217-4052
(503) 998-5590
Mailing address
6433 N CURTIS AVE, PORTLAND, OR 97217-4052
(503) 998-5590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6111
OR
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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