Individual
KASSANDRA LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 NW COUNCIL DR STE 300, GRESHAM, OR 97030-3725
(503) 258-4200
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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