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 |