| NPI | 1508141185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BAMFORD Mental Health Counselor 503-581-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 742) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |