| NPI | 1093121709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE DUNHAM Owner/Member 503-568-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 18560) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2016-09-02 |