| NPI | 1124419585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ROEDA Licensed Clinical Social Worker 503-440-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6101) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-13 |