Individual
DIEGO LORENZO LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
847 NE 19TH AVE, SUITE 100., PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
8915 SW CENTER STREET, TIGARD, OR 97223
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
07/31/2017
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