| NPI | 1174987309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRY Y YASSA CEO 503-442-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D2111263) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-11-21 |