| NPI | 1801640099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYLEY NICOLE PUTMAN Counselor 503-853-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |