| NPI | 1881639334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C WILGUS Owner 503-524-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C0046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0021) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |