| NPI | 1750691697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A. ORANDON Owner/ Reg. Intern #R1426 503-729-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR #R1426) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |