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NPI Code Detail

MEDICARE: HUNTER K LEONARD LCSW

MEDICARE: HUNTER K LEONARD LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL10636OR

General Provider Information

NPI Number : 1598180549
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER K LEONARD LCSW
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 503-215-6494
Fax Number :
Provider Business Practice Location Address
First Line : 1511 DIVISION ST STE 101
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1589
Country : US
Telephone Number : 503-722-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 06/09/2023

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Directions to “ HUNTER K LEONARD LCSW” Practice Location

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