| NPI | 1063623478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE VINCENT Office Manager 503-842-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-10-03 |