Individual
MS. LESLIE ANN COONC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5200 SW MACADAM AVE, STE 100, PORTLAND, OR 97239-6103
(503) 224-1998
Mailing address
3601 SW RIVER PKWY, STE 2412, PORTLAND, OR 97239-4553
(360) 770-3631
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
339131
OR
Other
Enumeration date
05/08/2015
Last updated
05/13/2015
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