| NPI | 1427708171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND ST CHARLES Psychologist, Owner, Sole Member 503-755-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-01-07 |