| NPI | 1720685696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ELLEN STEWART Clinical Social Worker/Therapist 503-616-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |