| NPI | 1952043911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH RYDER Administrative Assistant 503-780-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |