| NPI | 1679933113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONA BORZA Owner 503-805-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200950102NP) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |