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1689976425
MICHAEL LEIDECKER
PORTLAND, OR
NPI
1689976425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-11-30
Last Update Date
2012-07-24
Business Address
Dr. MICHAEL LEIDECKER PsyD
516 SE MORRISON ST SUITE #1010
PORTLAND, OR 97214-2327
Phone number: 503-292-2661
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Mailing Address
Dr. MICHAEL LEIDECKER PsyD
516 SE MORRISON ST SUITE #1010
PORTLAND, OR 97214-2327
Phone number: 503-975-0101
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