| NPI | 1588835631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED CHIN-TEH JU Licensed Psychologist 503-365-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 1598) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |