| NPI | 1437312246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA GAYLE WILCOX Psychologist 503-452-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR 1455) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |