| NPI | 1538690664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY A. SHELLMIRE Director 503-676-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |