| NPI | 1124187323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY J RANIK Clinic Coordinator 503-452-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |