Individual
LESLEY KRAKAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, CADC-I
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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