Smith, George Leslie

Smith, George Leslie is an sole proprietor health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, George Leslie can be contacted via phone (503) 661-5455.

Contact Information

Primary practice address
400 Ne 7Th St Gresham OR 97030-5604
Fax: (503) 661-4959
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0971 Oregon

Profile Details

NPI number 1194871582
LBN Legal business name Smith, George Leslie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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