| NPI | 1689884751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE E STILWELL Office Manager 503-236-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: OR 1224715-1) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |