| NPI | 1669915344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2018-01-26 |