| NPI | 1689412850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH VON COLDITZ Owner 503-789-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |