| NPI | 1619385259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL R COFFEY Pharmacy Manager 503-280-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR RPH-0014163) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |