Individual
TERESA LECKRON-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, QMHA, CRM
Contact information
Practice address
7916 SE FOSTER RD, PORTLAND, OR 97206
(503) 384-8656
(503) 208-2596
Mailing address
7916 SE FOSTER RD, PORTLAND, OR 97206-4289
(503) 384-8656
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
08/29/2018
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