Most Relevant Information
Provider Data
| NPI Number: | 1003338005 |
| Provider Name: | BAKURA LEIB-REISER |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2017 |
| Last Updated: | 07/11/2017 |
Provider Practice Location
7632 SE FLAVEL ST
PORTLAND
OR
972067813
Practice Location Phone/Fax
| Phone: | 5034670581 |
| Fax: | 5032336993 |
Provider Mailing Location
707 NE COUCH ST
PORTLAND
OR
972322922
Provider Mailing Phone/Fax
| Phone: | 5035424603 |
| Fax: | 5032336093 |