| NPI | 1124343827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIREE FERGUSON Billing Manager 503-758-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR OR L3275) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2026-04-06 |