| NPI | 1477801454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK E ETHEL-KING Director/Psychologist 503-352-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: 1615) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 986473) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |