| NPI | 1447490073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRAXTON Executive Director 503-676-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 2800) |
| 101YM0800X Counselor, Mental Health (Licence: OR 2800) | |
| 104100000X Social Worker | |
| 172V00000X Community Health Worker (Licence: OR 2800) | |
| 183500000X Pharmacist | |
| 251V00000X Voluntary or Charitable | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 2800) | |
| 261QP3300X Clinic/Center, Pain (Licence: OR 2800) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: OR 20105014NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 20105014NP) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2019-06-11 |