| NPI | 1528086055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JEAN HEAD President 503-625-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1328) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |