| NPI | 1508698739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANDERSON Senior Director Payer Enrollment 503-910-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |