| NPI | 1992492557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ILI Nurse Practitioner/ Owner 503-386-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |