| NPI | 1376783423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M. FISHMAN Clinical Director 503-227-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1397) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2013-04-03 |