NPI | 1790661825 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA YVONNE SMITH Pmhnp Bc 503-812-2844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-13 |