| NPI | 1992059133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHYRIL WALKER President 541-557-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 997) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 997) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 997) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |