| NPI | 1750753687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M. HECKLER Sr. Assoc. Dean For Clinical Pract. 503-494-4481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2016-07-20 |