| NPI | 1194890434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BEN NEWMAN Vice President 503-585-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 084053069RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 084053069N6 PMHNP-PP) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-05-17 |