| NPI | 1972947075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN LEEBERG President 541-318-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1048) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |