| NPI | 1962412510 |
|---|---|
| Doing Business As | NORTH WEST CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | EVGENY I FEDOTOV President 503-252-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38d1056263) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |