| NPI | 1194037283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY FORREST Director Of Professional Services 503-535-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR T0680) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |