| NPI | 1003621517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LINDSTROM Executive Director 503-791-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |