Fernandez, Leticia Victoria

Fernandez, Leticia Victoria is an individual health care provider with primary practice located at 9830 Ne Cascades Pkwy Ste 200, Portland OR 97220-6832. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Fernandez, Leticia Victoria can be contacted via phone (512) 731-2335.

Contact Information

Primary practice address
9830 Ne Cascades Pkwy Ste 200 Portland OR 97220-6832
Phone: (512) 731-2335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1497091185
LBN Legal business name Fernandez, Leticia Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2012
Last updated Dec 27th, 2012 - about 13 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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