NPI | 1790052629 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN LUETTGERODT Manager, Pharmacy Service Operation 503-261-7564 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 6116) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2021-06-01 |