| NPI | 1346492964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS VANDERVEER President/Owner 503-342-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 9142) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |