| NPI | 1073804274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER WOLFE Owner 503-702-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR L4265) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |