| NPI | 1205961901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA E VASQUEZ Senior Administrative Specialist 503-846-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |