| NPI | 1811467574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R MULICK Psychologist 503-830-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |