Individual provider · Type 1 NPI

Diego Lorenzo Leyva

Mental Health Counselor · Portland, OR

NPI number 1730614967 Active

Practice location

847 NE 19th Ave, Suite 100.
Portland, OR 97232-2684

Mailing address

8915 SW Center Street
Tigard, OR 97223

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1730614967

Diego Lorenzo Leyva's National Provider Identifier is 1730614967, issued on Apr 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2017.