| NPI | 1154561140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK THACHER CARTER President 541-962-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1172) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-04-08 |