| NPI | 1700164878 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DAVID BRILLHART Licensed Psychologist 503-400-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2025-07-31 |