| NPI | 1902212731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M MOURS President 503-806-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1991) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1124) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |