| NPI | 1154454718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE PALOMO ROBERTSON Business Manager 503-287-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D1063205) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-02-29 |