| NPI | 1225554173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA WARREN Director Credentialing 503-371-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-08-07 |