| NPI | 1255724084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MICHELLE OLIVER Licensed Clinical Social Worker 503-953-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OR L5908) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |