| NPI | 1730538273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JO LOWDEN Psychotherapist 503-236-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR C4085) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |