| NPI | 1124532643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L NUTTING Clinical Social Worker/Body Worker 541-660-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L5127) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13488) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |