| NPI | 1972606564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID LENOX Psychiatrist 503-585-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD17200) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |