| NPI | 1366710782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Manager 503-691-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D2032723) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |