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Individual

MS. LESLIE D WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(858) 204-4749
(858) 204-4749

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
201909175RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202214464NP-PP
OR

Other

Enumeration date
11/28/2019
Last updated
09/16/2022
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