Individual
KATRINA LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-7958
(541) 426-2660
Mailing address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-7958
(541) 426-2660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
THW000111656
OR
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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