| NPI | 1730952227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN STERRY Owner, Provider 503-406-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-06-28 |