| NPI | 1508230707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACI N ELKINS Director/Therapist 503-567-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 5764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |