| NPI | 1477664373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RAYE OLSEN SMITH Dental Hygienist 503-371-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR H3520) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-06-01 |