| NPI | 1770274979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RILEY MOYES Owner, Provider 971-368-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-06-05 |