| NPI | 1023476710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE FULLER Executive Director 503-546-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |