| NPI | 1790400125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA CHANTEL APON Owner 503-530-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |