NPI | 1952754038 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY HACOPIAN Clinical Psychologist 503-928-6624 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: OR 2430) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-07-13 |