| NPI | 1568138691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA BAZINET Business Owner 503-272-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |