| NPI | 1710562970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA NARVAEZ Office Manager, Administrator 503-979-4346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |