| NPI | 1760868459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE BAUSCHARD Executive Director 503-997-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR l2155sr) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |