| NPI | 1326284688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY D HAMILTON CEO/Pres Of Management Company 503-566-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WA 2015) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |