| NPI | 1659686426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG D TRAN Physician 503-585-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 16732) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR 16732) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-22 |