| NPI | 1972124196 |
|---|---|
| Doing Business As | NON PROFIT |
| Entity Type | Organization |
| Authorized Contact | HEATHER REPPETO Executive Director 503-535-3860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 207Q00000X Family Medicine | |
| 171M00000X Case Manager/Care Coordinator | |
| 175F00000X Naturopath | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-10-08 |