| NPI | 1235131632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESA BRADEEN Chief Medical Officer 503-466-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 172V00000X Community Health Worker | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2025-06-03 |