| NPI | 1467388850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHIE JANE ROCHON Chief Executive Officer 971-300-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |