| NPI | 1407254576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VANDYKE President 503-640-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OR MD08562) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |