| NPI | 1699072785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE MARGUERITE President 503-699-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1241) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |