| NPI | 1780135277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD POWELL Owner 503-467-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 677013) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |