| NPI | 1518718477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNI CANSLER CEO 971-434-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |