| NPI | 1366989485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HASSON Owner 503-523-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 500601014) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |