Individual
LESLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AM, LCSW
Contact information
Practice address
5120 SE 28TH AVE, PORTLAND, OR 97202-4505
(503) 597-8991
(503) 597-8901
Mailing address
5120 SE 28TH AVE, PORTLAND, OR 97202-4505
(503) 597-8991
(503) 597-8901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10347
OR
Other
Enumeration date
11/07/2017
Last updated
09/29/2022
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