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Organization
DEBORAH MERTLICH, LCSW
Active
Organization
DEBORAH MERTLICH, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN MERTLICH LCSW (OWNER/ PRESIDENT)
(971) 252-1545
Entity
Organization
Contact information
Practice address
4550 KRUSE WAY STE 340, LAKE OSWEGO, OR 97035-3586
(971) 252-1545
(844) 303-5253
Mailing address
4550 KRUSE WAY STE 340, LAKE OSWEGO, OR 97035-3586
(971) 252-1545
(844) 303-5253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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