Individual
MRS. JOELLE OSTERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24910 S DIANNE DR, BEAVERCREEK, OR 97004-8702
(503) 956-7526
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(503) 956-7526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L6643
OR
1041C0700X
Clinical Social Worker
Primary
L6643
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456P24203
EIN
—
01
—
93-0798039
TAX ID
—
01
—
L6643
OREGON STATE BOARD OF SOCIAL WORK
OR
Enumeration date
04/24/2015
Last updated
02/28/2025
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