| NPI | 1407306913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAH RENEE PARTAK Owner / Therapist 503-701-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4576) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-06-94) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |