| NPI | 1346793593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI GJERDE Mental Health Clinician 503-388-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4163) |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2018-12-13 |