| NPI | 1780744714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MARLOW Clinical Psychologist 541-289-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 1335) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |