| NPI | 1295236131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE CHARISSE GILLESPIE-OTTO President 503-482-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4020) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |