| NPI | 1518257195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA CORONA-GOLDSTEIN Owner 503-701-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3653) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |