| NPI | 1336787480 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RANDALL S KRIEGER Owner 503-327-4049  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2019-12-18 | 
| Last Update Date | 2022-08-02 |