| NPI | 1861617359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JACOBSON Executive Director 503-397-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-03-25 |