| NPI | 1740844539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SUIB Executive Director 503-517-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-01-13 |