| NPI | 1205595543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE R DAY Mental Health Provider 503-956-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-11-11 |