Lesley V Alter, LCSW

Individual provider Active NPI Mental Health Counselor · Tigard, OR

NPI 1013079797 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013079797
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1763 (OR)
Practice address
9860 SW Hall Blvd
Ste B
Tigard, OR 97223-8896
Phone
(503) 624-1974
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1763ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Alter, LCSW Past Accepting new patients
Northside Family Counseling, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1763 OR Yes

Addresses

Primary practice location

9860 SW Hall Blvd
Ste B
Tigard, OR 97223-8896

Mailing address

PO Box 12553
Portland, OR 97212-0553
Phone (503) 624-1974

Other providers in Tigard, OR

All providers in Tigard, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.