| NPI | 1154969772 |
|---|---|
| Other Name | MOUNTIANVIEW |
| Entity Type | Organization |
| Authorized Contact | TODD JACOBSON Executive Director 503-397-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2024-08-28 |