| NPI | 1124493580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY SHANKAR Owner 503-531-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 2193) |
| 171100000X Acupuncturist (Licence: OR ac169233) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |