| NPI | 1801765581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENALI BRICHER Administrator 503-647-6501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2026-02-23 |