| NPI | 1700457819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FARRELL Owner & Practitioner 503-956-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-03-22 |