| NPI | 1417715921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HELLSTROM Owner 503-913-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2026-01-15 |