NPI | 1366271421 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH SCROGGINS Director/Licensed Prof Counselor 503-838-8313 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |