| NPI | 1720491616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHRISTENSEN Executive Clinical Director 503-970-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0555) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 507580) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |