| 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 |