| NPI | 1912741760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA HATHAWAY FLETCHER Owner 503-780-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |