| NPI | 1336495894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HAWES Owner 503-740-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 11893) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |