Individual
MR. PATRICK MERLE SELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC INTERN
Contact information
Practice address
11630 SE 40TH AVE, MILWAUKIE, OR 97222-6195
(503) 703-0530
Mailing address
11630 SE 40TH AVE, MILWAUKIE, OR 97222-6195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R4306
OR
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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