| NPI | 1972178291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PORTER Owner, Technology Manager 541-896-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 261QC1800X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QR1100X Clinic/Center, Research | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-21 |