NPI | 1073676037 |
---|---|
Entity Type | Organization |
Authorized Contact | TONIA AYRES Administrator 503-295-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 821498) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2013-02-22 |