| NPI | 1508699521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL JARRIA Physician 503-567-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |