| NPI | 1225565583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN PEREZ Lcsw, Therapist, Member 503-901-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4805) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L4805) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-18 |