| NPI | 1548328354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRYE PENDARVIS ANNAND Owner 503-297-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR LETTER OF APPROVAL) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |