Individual
LEAH SMART GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 SW MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
(503) 231-8153
Mailing address
5200 SW MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7245
OR
1041C0700X
Clinical Social Worker
SW14018
FL
Other
Enumeration date
01/23/2017
Last updated
06/04/2017
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