| NPI | 1346802733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMIEKE CLARK EMCH Owner 503-741-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-08-07 |