| NPI | 1760978068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL MYANNA MITCHELL Owner 503-267-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2017008132) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |