| NPI | 1558615609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G RANKIN Chair 2 503-901-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1509120-4) |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2012-10-27 |