| NPI | 1467969220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DORSEY Owner / Provider 503-707-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201406327NP-PP) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-06-11 |