NPI | 1821775982 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE HAN Member 503-476-1127 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-06-30 |
Last Update Date | 2024-10-10 |