Individual
LESLIE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
233 SW WILSON AVE STE 201, BEND, OR 97702-2988
(541) 382-8862
Mailing address
60169 CRATER RD, BEND, OR 97702-8956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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