| NPI | 1699956193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN BARNES Chief Executive Officer 503-763-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 0901) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |