Individual
MEREDITH PREBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW QMHP
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-8400
(503) 269-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
02/19/2015
Last updated
05/14/2019
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