| 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 Community/Behavioral Health |
| 261QM0801X | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-03-25 |