| NPI | 1679942007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NORTON Lmt 503-752-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 13064) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |