NPI | 1194399899 |
---|---|
Doing Business As | CASCADE PSYCHEDELIC MEDICINE |
Entity Type | Organization |
Authorized Contact | SETH MEHR Owner 503-453-2941 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2021-05-17 |
Last Update Date | 2021-09-16 |