| NPI | 1588107320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2018-01-26 |