Individual
MS. LESLIE ANNE WALISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-9803
(503) 215-8593
Mailing address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-9803
(503) 215-8593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3686
OR
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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