Individual
CHARLES MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3530 SE 136TH AVE APT 5, PORTLAND, OR 97236-2958
(503) 719-4535
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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