NPI | 1477618353 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J KRENK CEO 503-239-8101 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 103T00000X Psychologist |
2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
225X00000X Occupational Therapist | |
231H00000X Audiologist | |
235Z00000X Speech-Language Pathologist | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2013-09-24 |