| NPI | 1033607494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WADE Executive Director 503-935-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW1630) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-06-16 |