| NPI | 1962935312 |
|---|---|
| Doing Business As | GROUNDPDX |
| Entity Type | Organization |
| Authorized Contact | MITCHELL BACON Owner 603-667-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1282) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |