| NPI | 1386001493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCOTT-KNOX Owner 503-867-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 20606) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |