# DEBORAH MERTLICH, LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609442029
- **Authorized official:** DEBORAH LYNN MERTLICH LCSW (OWNER/ PRESIDENT)
- **Authorized official phone:** (971) 252-1545

## Contact information

- **Practice address:** 4550 KRUSE WAY STE 340, LAKE OSWEGO, OR 97035-3586
- **Practice address phone:** (971) 252-1545
- **Practice address fax:** (844) 303-5253
- **Mailing address:** 4550 KRUSE WAY STE 340, LAKE OSWEGO, OR 97035-3586
- **Mailing address phone:** (971) 252-1545
- **Mailing address fax:** (844) 303-5253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 05/27/2021