| NPI | 1437878162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL HYDE Managing Member 503-999-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-09-19 |