NPI | 1770804940 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BJORNSON VP Medicare Product Ameri Choice 503-540-5640 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2010-06-22 |
Last Update Date | 2010-08-05 |