NPI | 1912521998 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY WISE Owner, Dnp, Pmhnp Bc 503-781-5814 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2022-01-01 |