Organization
LAKEWOOD COUNSELING AND MEDIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BAKER M.A. (DIRECTOR)
(503) 697-3484
Entity
Organization
Contact information
Practice address
543 3RD ST, SUITE C-12, LAKE OSWEGO, OR 97034-3067
(503) 697-3484
Mailing address
PO BOX 935, LAKE OSWEGO, OR 97034-0101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C0168
OR
251S00000X
Community/Behavioral Health Agency
T0103
OR
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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