| NPI | 1275707051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GAIL ISAACS Clinical Psychologist 503-248-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OR 00786) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |