JOSEPH ALLEN LEICK

PORTLAND, OR
NPI1043920127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-11-30
Last Update Date2022-11-30
Business Address
JOSEPH ALLEN LEICK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Mailing Address
JOSEPH ALLEN LEICK
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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