| NPI | 1124583786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI LIN HALLY Clinical Director 503-267-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |