| NPI | 1780757690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1654) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-01-26 |