| NPI | 1134633100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RYAN MYERS Owner/Provider 503-381-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 1092) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |