| NPI | 1184914954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTEEN JENSEN President 503-491-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C1184) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |