| NPI | 1790095743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ANDERT Managing Member 503-421-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 1423) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |