| Susan B Merrick, Lcsw, Dcsw, Llc | |
|
510 Sw 3rd Ave Suite 200 Portland OR 97204-2543 | |
| (503) 781-3403 | |
| Not Available |
| Full Name | Susan B Merrick, Lcsw, Dcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Sw 3rd Ave, Portland, Oregon |
| Authorized Official Name and Position | Susan Blanchard Merrick (OWNER) |
| Authorized Official Contact | 5037813403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan B Merrick, Lcsw, Dcsw, Llc Po Box 86706 Portland OR 97286-0706 Ph: (503) 781-3403 | Susan B Merrick, Lcsw, Dcsw, Llc 510 Sw 3rd Ave Suite 200 Portland OR 97204-2543 Ph: (503) 781-3403 |
| NPI Number | 1013464809 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013464809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L6896 (Oregon) | Primary |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2950 Se Stark St Ste 130, Portland, OR 97214 Phone: 971-270-0167 |