NPI 1982191763
Gridworks Lab, INC.
Practice location
- Address
- 715 SW Morrison St STE 400, Portland, OR 97205-3123
- Phone
- (503) 427-9797
Authorised official
- Name
- Collin Ross Peterson
- Title
- Chief Executive Officer
- Phone
- (503) 427-9797
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1982191763
- Entity type
- Organization
- NPI issued
- 17 Apr 2018
- Record last updated
- 17 Apr 2018
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.