| NPI | 1912377193 |
|---|---|
| Doing Business As | PACIFIC PSYCHOLOGY & COMPREHENSIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA DOWNING Compliance Officer 503-352-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 1476) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR 1476) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2023-11-14 |