| NPI | 1679832315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 700029) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-03-06 |