| NPI | 1851759260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER R. TAVERNE CEO 971-719-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 21764) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |