| NPI | 1598201519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BURKE-SIVERS Owner 503-250-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4272) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |