| NPI | 1811139660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MARIE ALVAREZ Owner 503-236-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR DO23335) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |