person
Dr. Michael Leidecker, PSYD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1689976425

Michael Leidecker is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Michael Leidecker practices in Portland, OR and has the professional credentials of PSYD. The NPI Number for Michael Leidecker is 1689976425 and holds a License No. (Oregon).

The current practice location address for Michael Leidecker is 516 Se Morrison St, Portland, OR and can be reached out via phone at 503-292-2661.

Location: 516 Se Morrison St, Portland, OR, 97214-2327
person
Provider Profile Details
NPI Number
1689976425
Provider Name
Michael Leidecker
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
516 Se Morrison St, Portland, OR, 97214-2327
Phone Number
503-292-2661
Fax Number
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
516 Se Morrison St
City
State
Zip
97214-2327
Phone Number
503-292-2661
Fax Number
person
Provider Business Mailing Address Details
Address
516 Se Morrison St
City
State
Zip
97214-2327
Phone Number
503-292-2661
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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