NPI 1407254576

Interlink Coe Networks and Programs

Organisation Exclusive Provider Organization Hillsboro, OR

Practice location

Address: 4660 NE Belknap CT Suite 209, Hillsboro, OR 97124-6467
Phone: (503) 640-2000
Fax: (503) 640-2028

Authorised official

Name: John Vandyke
Title: President
Phone: (503) 640-2000

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MD08562 (OR)

Other Exclusive Provider Organization providers in Oregon →

Registry record

NPI: 1407254576
Entity type: Organization
NPI issued: 5 Dec 2014
Record last updated: 5 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.