| NPI | 1346239670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE L. SIMMONS Director Of Operations 503-640-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2012-03-15 |