| NPI | 1821285230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ELLEN CLINE Mental Health Counselor 541-728-8297 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR L3005) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: OR L3005) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2007-09-29 |