| NPI | 1811086747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROBERTS Owner 503-319-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD23993) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |