| NPI | 1962559617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID J NORDT Executive Office Manager 503-292-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D0676504) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-03-25 |