| NPI | 1356746317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PLOWHEAD Owner/Clinical Psychologist 503-330-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1899) |
| Enumeration Date | 2014-11-02 |
| Last Update Date | 2014-11-02 |