| NPI | 1083029250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MILLER Member 503-995-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4588) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |