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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/16/2013
Query Time: 05/18/2013 03:31:15 am

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 1908
First Name Jerusha
Last Name Detweiler-Bedell
Title Ph.D.
Address 0615 Palatine Hill Rd., BOX 16
City Portland
State OR
Country U.S.A
Phone Number W: 503-768-7506
Status Active Psychologist
Date Licensed 10/24/2008
Expiration Date 9/30/2013
Proposed or Final Board Action No
Under Supervision No

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