NPI | 1447624663 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA ROBERTSON Contract And Credentialing 503-233-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA LH 60489053) |
Enumeration Date | 2015-11-26 |
Last Update Date | 2018-01-26 |