| NPI | 1215488671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE GARRETT DUNHAM Owner 503-877-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 18560) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-02-18 |