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 |