| NPI | 1083116339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALLEN ERICKSON Owner 541-636-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4588) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2024-05-01 |