Diego Lorenzo Leyva
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1730614967
StatusActive
Last updated in NPPESJul 31, 2017
Details
- NPI
- 1730614967
- Entity type
- Individual (NPI-1)
- Name
- Diego Lorenzo Leyva
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- Jul 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
847 Ne 19th AveSuite 100.
Portland, OR 97232-2684
Phone 503-238-0769
Mailing address
8915 Sw Center StreetTigard, OR 97223
Phone 503-726-3690
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