| NPI | 1841772233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT M. SIMAS Manager 503-880-6414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD165076) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |