NPI | 1194082867 |
---|---|
Doing Business As | WEST SALEM CLINIC MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | PAUL LOGAN Chief Executive Officer 503-588-5831 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2023-03-13 |