| NPI | 1467302778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER YERTY Owner 503-208-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |