| Doctor Name: | MRS. LESLEY V ALTER |
| NPI Number: | 1013079797 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1763 |
| Business Practice Address: | 9860 Sw Hall Blvd Ste B Tigard, OR - 972238896 |
| Business Phone Number: | 5036241974 |
| Business Fax Number: | |
| Mailing Address: | Po Box 12553, PORTLAND |
| State: | OR |
| Postal Code: | 972120553 |
| Phone Number: | 5036241974 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |