| NPI | 1306014253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS L FRANSON Office Manager 503-255-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OR DP00094) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |