| NPI | 1033619911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOHN SOTOR Owner 503-908-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009608) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |