| NPI | 1194596270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BENTURA-JIMENEZ Owner 971-268-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-07-21 |