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1417694241
LESLIE STEPHENS
PORTLAND, OR
NPI
1417694241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
LESLIE STEPHENS
4445 S BARBUR BLVD STE 205
PORTLAND, OR 97239-4047
Phone number: 503-768-6325
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Mailing Address
LESLIE STEPHENS
4606 N COMMERCIAL AVE
PORTLAND, OR 97217-3068
Phone number: 775-224-6911
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