| NPI | 1649895376 |
|---|---|
| Other Name | MOUNTIANVIEW |
| Entity Type | Organization |
| Authorized Contact | TODD JACOBSON Executive Director 503-397-5211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-08-28 |