| NPI | 1740476241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS HANSEN Clinical Director 503-738-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 04-11-57U) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2010-04-28 |