| NPI | 1700906047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MAKER Member 503-341-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2953) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 2953) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 2953) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 2953) | |
| 104100000X Social Worker (Licence: OR 2953) | |
| 106H00000X Marriage & Family Therapist (Licence: OR 2953) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-03-28 |