| NPI | 1497965784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BAKER Director 503-697-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C0168) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OR T0103) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |