| NPI | 1487417259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MITCHELL Owner 503-413-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |