| NPI | 1669663688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE S. LONGWAY Nurse Practitioner 503-325-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200550164NP) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |