Lesley Sacks LCSW

NPI 1750791679 - Social Worker - 1041C0700X

NPI Details
NPI 1750791679
Gender Female
Enumeration Date 04/30/2014
Last Updated 04/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2205 NE 40TH AVE
PORTLAND OR, 97212-5408, US
Phone (503) 307-9012
Fax
Business Location
2205 NE 40TH AVE
PORTLAND OR, 97212-5408, US
Phone (503) 307-9012
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number L6094
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According to our database, Lesley Sacks LCSW NPI is 1750791679, taxonomy code is 1041C0700X and license number is L6094, license state is located at Oregon. Lesley Sacks LCSW physically located at 2205 Ne 40th Ave, Portland OR, 97212-5408. NPI Number Lesley Sacks LCSW has the Individual type.

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1750791679 NPI number is provided on an as is basis without warranty of any kind. 1750791679 is maintained by the National Plan & Provider Enumeration System. The contents of Lesley Sacks LCSW are for informational purposes only.