| NPI | 1023395084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIONA STEPHANIE STANDEN Owner 503-581-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L3040) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2012-02-29 |