| NPI | 1770800930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL JOHN YOUNG President 503-362-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR MD26178) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-02-25 |