| NPI | 1518144690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART G WEISBERG Owner/Attending 971-230-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR MD23402) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |