Individual provider · Type 1 NPI

Michael G. Marcellus

Mental Health Counselor · Beaverton, OR

NPI number 1669721270 Active

Practice location

20660 SW Marimar St
Beaverton, OR 97007-5484

Call (503) 704-4217 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Basic Emergency Medical Technician 146N00000X134555 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1669721270

Michael G. Marcellus's National Provider Identifier is 1669721270, issued on Aug 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on May 16, 2013.