| NPI | 1982096517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY S SNEDICOR Owner 503-939-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 13029) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-24 |