| NPI | 1932866837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY BECKER JONES Owner 971-356-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2022-01-27 |