| NPI | 1508731340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWSHINA NICOLE ADAMS Sud Counselor 503-374-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |