Individual
SABRINA MERCEDES TRICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
12655 SW CENTER ST STE 100, BEAVERTON, OR 97005-1600
(503) 828-3402
Mailing address
12665 SW CENTER ST, 100, BEAVERTON, OR 97005
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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