| NPI | 1669508412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LAZRINE Practice Administrator 503-653-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 01229457-2) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-01-30 |