| NPI | 1861981706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL BEASLEY Therapist 503-267-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19425) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-11-09 |