MICHAEL D LEAVITT

LAKE OSWEGO, OR
NPI1588798417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- MICHAEL D LEAVITT
2507 CHRISTIE DRIVE
LAKE OSWEGO, OR 97034
Phone number: 503-635-3416
Mailing Address
-- MICHAEL D LEAVITT
PO BOX 368
MARYLHURST, OR 97036-0368
Phone number: 503-635-3416