| NPI | 1750512661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GINGERICH Clinical Services Manager 503-538-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR NA for this type) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2017-01-25 |