| NPI | 1497096275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE ANNE PEGEL Child And Family Therapist 503-235-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR C1113) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |