| NPI | 1548471543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HUPP Clinical Supervisor 503-390-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |