| NPI | 1760754493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA COFFIN HILL Member 503-690-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1280) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |