| NPI | 1659713303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEAN STANLEY Onwer 503-833-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD157548) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |