| NPI | 1285989822 |
|---|---|
| Doing Business As | PORTLAND TRAUMA RECOVERY |
| Entity Type | Organization |
| Authorized Contact | TARA CROWLEY Office Manager 503-715-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5721) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2014-07-29 |