| NPI | 1891588729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ELIZABETH WATSON Owner 503-998-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |