| NPI | 1902128804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M. SIMS Co Owner 503-719-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4220) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |