| NPI | 1568739837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D. COHEN Owner 503-238-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR 1059) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |