| NPI | 1598098956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YSHAI BOUSSI Psychotherapist 503-260-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR c2363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4169) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |