| NPI | 1447231840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SID RITTENBACH Administrator 503-842-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D0964883) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |