| NPI | 1700622149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA BROCKDORF Partner 503-577-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |