| NPI | 1396294955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH DOHERTY Owner / Psychologist 503-288-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1628) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |