Individual
LESLEY SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2205 NE 40TH AVE, PORTLAND, OR 97212-5408
(503) 307-9012
Mailing address
2205 NE 40TH AVE, PORTLAND, OR 97212-5408
(503) 307-9012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6094
OR
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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