| NPI | 1851567655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN S MELTZER Administrative Director 503-302-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR l3352-c1512) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |