| NPI | 1992223861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARIE FLORES Operations Manager 503-914-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-03-17 |