| NPI | 1699495804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SIMON-THOMAS Owner/Clinical Psychologist 503-707-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-09-01 |