| NPI | 1558427781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GERALD THORSEN President 541-343-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 0755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 2504) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2015-04-09 |