| NPI | 1164273835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN EGENER Owner And Manager 503-406-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 174400000X Specialist | |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-05-24 |