| NPI | 1821854589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA THOMPSON RODRIGUEZ Program Specialist 503-597-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |