| Deborah Mertlich, Lcsw | |
|
4550 Kruse Way Ste 340 Lake Oswego OR 97035-3586 | |
| (971) 252-1545 | |
| (844) 303-5253 |
| Full Name | Deborah Mertlich, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4550 Kruse Way Ste 340, Lake Oswego, Oregon |
| Authorized Official Name and Position | Deborah Lynn Mertlich (OWNER/ PRESIDENT) |
| Authorized Official Contact | 9712521545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Mertlich, Lcsw 4550 Kruse Way Ste 340 Lake Oswego OR 97035-3586 Ph: (971) 252-1545 | Deborah Mertlich, Lcsw 4550 Kruse Way Ste 340 Lake Oswego OR 97035-3586 Ph: (971) 252-1545 |
| NPI Number | 1609442029 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609442029 | NPI | - | NPPES |
| L3405 | Other | OR | COMMERCIAL INSURANCE AND SELF PAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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