| NPI | 1649475641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNNE ARNOLD Owner 503-274-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1620) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1594) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |