| NPI | 1831789098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BRYSON Member 503-922-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-08-16 |