| NPI | 1639634009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M JONES Owner, Provider 503-593-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2023-12-18 |