| NPI | 1568213338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY RAE BARR Professional Counselor Associate 503-799-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |