| NPI | 1609268556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA JEWELENE BECK Registered Dental Hygienist 503-467-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR H6213) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |