| NPI | 1881728087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHEL MAY LEVAD Office Manager 503-460-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |