| NPI | 1356348106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCALLISTER Owner/Director/Therapist 503-255-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 2319) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-10-02 |