| NPI | 1285452409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN S FITZGERALD Owner 503-869-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-11-14 |