| NPI | 1578721486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CCALLAIS Supervisor PT/Ot Dept 503-571-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 118) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2021-06-01 |