| NPI | 1588083166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2018-01-26 |