| NPI | 1467919225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH K RILEY Practice Manager/Billing 503-421-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |