| NPI | 1063917870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK MOONEY Licensed Psychologist 503-581-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR OR1088) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |