| NPI | 1821755422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED FERRELL Chief Executive Officer 503-939-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |