| NPI | 1073817714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH PETERSON Director Of Finance 503-681-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: OR 14 0095) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2021-07-22 |