LELAND ST. CHARLES

PORTLAND, OR
NPI1457715922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  5872)
Enumeration Date2016-04-11
Last Update Date2022-03-06
Business Address
LELAND ST. CHARLES Psy.D.
2700 SE 26TH AVE STE C
PORTLAND, OR 97202-1288
Phone number: 503-755-8808
Mailing Address
LELAND ST. CHARLES Psy.D.
8415 SE 75TH AVE
PORTLAND, OR 97206-8613
Phone number: 503-755-8808
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