| NPI | 1770996969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE ANN BAUSCHARD Msw,Lcsw 503-997-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: OR L2155SR) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |