| NPI | 1821812520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JARRIA Physician 503-567-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-14 |