| NPI | 1326597808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN FAHLSTROM President 503-409-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0724) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |