| NPI | 1639509417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M. GONZALEZ Clinical Psychologist 503-228-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1558) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |