| NPI | 1538495965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A MCKOWN President 503-682-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 552032-94) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |