| NPI | 1518254119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM GARBER Clinical Social Worker 503-515-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR L4100) |
| Enumeration Date | 2011-07-02 |
| Last Update Date | 2017-02-15 |