| NPI | 1992471676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL TAYLOR-PARSONS Owner 971-319-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2023-11-10 |