NPI 1013464809

Susan B Merrick, LCSW, Dcsw, LLC

Organisation Community/Behavioral Health Agency Portland, OR

Practice location

Address: 510 SW 3rd Ave Suite 200, Portland, OR 97204-2543
Phone: (503) 781-3403
Mailing address: PO Box 86706, Portland, OR 97286-0706

Authorised official

Name: Susan Blanchard Merrick
Title: Owner
Phone: (503) 781-3403

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence L6896 (OR)

Other Community/Behavioral Health providers in Oregon →

Registry record

NPI: 1013464809
Entity type: Organization
NPI issued: 8 Sep 2016
Record last updated: 8 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.