| NPI | 1669704805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERUM AYAZ KHALEEQ Psychiatrist 971-239-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR MD24295) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2011-06-01 |