| NPI | 1033692991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DAVIDSON Psychologist / Owner 503-313-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 2247) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |