| NPI | 1407039308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A SWANSON Secretary/Treasurer Of Mvcc 503-364-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2024-07-02 |