| NPI | 1346525300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA J. SUMMERS Clinical Psychologist 503-697-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 0741) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |