| NPI | 1629519954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN SCHEIDEL Psychologist 541-972-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2860) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-03-30 |