NPI 1588862643

Martha James

Organisation Exclusive Provider Organization Portland, OR

Practice location

Address: 5052 NE 42nd Ave, Portland, OR 97218-1550
Phone: (503) 933-2837

Authorised official

Name: Martha Faye James
Title: Counselor
Phone: (503) 933-2837

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5536 (OR)

Other Exclusive Provider Organization providers in Oregon →

Public Health or Welfare Agency

Agencies Taxonomy 251K00000X Licence 5536 (OR)

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Registry record

NPI: 1588862643
Entity type: Organization
NPI issued: 10 Jul 2007
Record last updated: 10 Jul 2007

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.