| NPI | 1427409697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ELLEN JONES Principal Officer 503-333-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C4168) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |