| NPI | 1730309816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORVIN R COOLEY Clinical Director 503-657-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2011-12-16 |