| NPI | 1104099464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ELIZABETH HOFFMAN President 503-320-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR OR1724) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY3352) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |