| NPI | 1336294214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA A.E. WONG President 503-560-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1475) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-01-03 |