NPI | 1417740077 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVRAUX R BOSHARD President 503-926-9460 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-05-27 |