| NPI | 1366909061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LUNDGREN Clinical Supervisor 503-430-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-04-22 |