| NPI | 1043106610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLI SAWYER VANDENHOUTEN Owner / Pmhnp 503-516-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |