| NPI | 1619057098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLE Assistant Director 503-259-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OR 891) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist (Licence: OR 891) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OR 891) | |
| 103TC0700X Psychologist Clinical (Licence: OR 891) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OR 891) | |
| 106H00000X Marriage & Family Therapist (Licence: OR T0433) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OR 17887) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 283Q00000X Psychiatric Hospital (Licence: OR 17887) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-05-07 |