| NPI | 1881188084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA NOEL WILCOX Medical Provider 503-212-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD171702) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-08-23 |