NPI | 1649027384 |
---|---|
Entity Type | Organization |
Authorized Contact | NOBU-ANN BUCKLEY A RN P, Pmhnp Bc 503-836-7760 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-05-01 |