| NPI | 1093244642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JUNE CHRISTIANSEN Owner/Provider 503-679-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 8052) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |