NPI | 1891298303 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE DIANE PENNINGTON Owner 503-744-7766 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2018-03-10 |
Last Update Date | 2018-03-10 |