NPI | 1629349519 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL EVAN KOHN President 503-221-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 000035487N6) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-01-24 |