| NPI | 1407153984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MCARTHUR Member 503-362-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 950483) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |