Individual
LEANETTE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS, CRM, THW
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
500 WARREN ST S APT 2, MONMOUTH, OR 97361-2201
(503) 509-3694
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
04/18/2024
Last updated
10/25/2024
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