| NPI | 1649430505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JOANNA OSBORN President 503-399-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200450036NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 081000718N3) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |