| NPI | 1073061859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN CALAHAN Lmt 971-208-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 18761) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |