| NPI | 1487191797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VILIUS Owner / Principal 503-491-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 20070075NP) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-02-22 |