| NPI | 1669281838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON LEVERMAN Owner/Operator 503-551-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |