Individual
LEIGH BANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205
(503) 535-3860
(503) 535-3868
Mailing address
7901 SE POWELL BLVD, STE B#203, PORTLAND, OR 97206
(503) 442-3071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A5566
OR
1041C0700X
Clinical Social Worker
Primary
LCSW11377
OR
Other
Enumeration date
05/25/2021
Last updated
11/21/2024
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