| NPI | 1073081881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD FLYNN Executive Director 503-332-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-03-19 |