| NPI | 1043339179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ERNEST BENTSON President 503-949-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 95-04-22) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |