| NPI | 1699166058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH CORDER Counselor 503-360-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R3587) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |