| NPI | 1639539976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ELIZABETH CARTER Owner 503-807-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR OR 1386) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2017-02-13 |