| NPI | 1225790587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN L LANGWORTHY Owner 503-383-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-01-25 |