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NPI 1376421149

NPI 1376421149 : NATALIE WEINSTEIN LESLIE MA : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1376421149
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE WEINSTEIN LESLIE MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2025
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    501 N DIXON ST 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97227-1876
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    Country              |    US
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    Telephone            |    503-916-5280
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    501 N DIXON ST 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97227-1876
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    Country              |    US
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    Telephone            |    503-916-5680
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    99186
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    License Number State |    OR
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