| NPI | 1962636860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CABOT WILLIS President 503-547-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 919) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2013-01-17 |