| NPI | 1063626315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LUOMA Licensed Psychologist, President 503-281-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1661) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-05-03 |