| NPI | 1386943587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C GOFF Owner/Director 503-224-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 1407) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |