| NPI | 1306229596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARKOVICS Clinical Psychologist 503-563-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1948) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |