| NPI | 1982559001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT BRACELIN Licensed Clinical Social Worker 503-878-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |