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