| NPI | 1083040869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE LYNN VANETT Office Manager 503-236-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 020704040) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |