NPI | 1326205535 |
---|---|
Entity Type | Organization |
Authorized Contact | EEVA SISKO GRAY Renal Dietitian/Diabetes Educator 503-786-1149 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 826) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2021-06-01 |