| NPI | 1679669873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006242) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-01-26 |