| NPI | 1407322720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE MILLER Secretary 503-591-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |