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 |