| NPI | 1306481981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R KOSIK Owner 503-470-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2025-11-19 |