| NPI | 1760783302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE F. WHITNEY President 503-223-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OR MD10974) |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2010-11-13 |