| NPI | 1962954891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIKA ANN RICHARD-WEBBER Innovation Social Worker 503-803-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60463246) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-06-23 |