NPI | 1104223957 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNIA (WILLOW) ANN MUHR Owner 503-997-6847 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 7971) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2014-11-21 |