| NPI | 1326736083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ADONIS-LEE JOHNSON Owner/Office Manager 503-714-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |