| NPI | 1568618239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANAE BECK Billing Office 503-268-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |