Individual
LESLIE GUADALUPE ACOSTA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA, CHW
Contact information
Practice address
18633 SE STARK ST STE 401, PORTLAND, OR 97233-5468
(503) 489-1760
(503) 489-1763
Mailing address
14213 SE CENTER ST, PORTLAND, OR 97236-2741
(503) 841-1359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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