| NPI | 1932327293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA M RODGERS BORDEN Clinical Director 503-667-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 1730) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |