| NPI | 1225459548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELL BJORNSON President 971-533-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150043np) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2197) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2015-04-27 |