NPI 1053448795
The Portland Clinic Laboratory
Practice location
- Address
- 800 SW 13th Ave, Portland, OR 97205
- Phone
- (503) 221-0161
- Fax
- (503) 274-1697
Authorised official
- Name
- Dick Clark
- Title
- Ceo
- Phone
- (503) 221-0161
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1053448795
- Entity type
- Organization
- NPI issued
- 28 Feb 2007
- Record last updated
- 26 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.