| NPI | 1699133348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CATHERINE WILSON Child, Adult And Family Therapist 503-729-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR C3951) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR C3951) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |