Individual
LESLIE ELIZABETH TALARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 SE 118TH AVE, PORTLAND, OR 97266-1607
(503) 936-3368
Mailing address
3223 SE 118TH AVE, PORTLAND, OR 97266-1607
(503) 936-3368
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
OR
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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