| NPI | 1952187270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WILLIAMSON Owner 503-793-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-03-16 |