| NPI | 1538454178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LOTT SAMSON Manager 503-679-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR OR200650006NP) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2014-03-24 |