| NPI | 1700677358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY PAUWELS Owner/Manager 503-782-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-07-02 |