| NPI | 1942845805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING KEITH ORTON Psychologist 541-526-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-10 |