| NPI | 1669492500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PRASNICAR Dental Director 503-684-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 5960) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |