| NPI | 1013293224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE EVANS BINGHAM Licensed Clinical Psychologist 503-584-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1523) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD19881) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD19881) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-09-05 |