| NPI | 1639342082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARALEE KISER President 503-228-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR #557) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |