| NPI | 1770369480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLE PIERSON Psychologist 503-270-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-07-04 |