| NPI | 1215468665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-01-26 |