| NPI | 1699486555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TRAVIS TAYLOR Owner 503-602-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |