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Managed Care Organizations at 72 Ave, Portland, OR

License number
Oregon 13029
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MS. CHASITY S SNEDICOR LMT
Title: OWNER
Phone: (503) 939-8304
Address
Address
15895 SW 72Nd Ave, Portland, OR 97224
National Provider ID: 1982096517
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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