| NPI | 1740368992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ESHELMAN Owner 503-215-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD18604) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-10-11 |