| NPI | 1023263647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK MCDONALD President 503-561-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OR 38d1091741) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2013-07-05 |