| NPI | 1548596539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER MATTHEW TREHARNE Pharmacist 503-338-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR RPH-0011874) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |