| NPI | 1780221499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ASHLEY DAVIDSON Psychologist / Owner 503-313-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |