| NPI | 1295063717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. MARRS Licensed Clinical Social Worker 503-620-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 1179) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |