| NPI | 1306270228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GEORGINA GONZALEZ-LEON Lcsw 503-308-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR LCSW5754) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |