| NPI | 1326319435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D DUANE DALE Physician, Owner 503-228-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD11451) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |