| NPI | 1396476883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE K JACOBSON Licensed Psychologist 503-470-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-01-16 |