Individual
MELISSA ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QMHP-R
Contact information
Practice address
14839 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 372-5147
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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