The Portland Clinic Laboratory

LBN: The Portland Clinic Laboratory
The Portland Clinic Laboratory is an health care organization with primary practice located at 800 Sw 13Th Ave , Portland OR 97205. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. The Portland Clinic Laboratory can be contacted via phone (503) 221-0161, or through Clark, Dick via phone (503) 221-0161.

Contact Information

Primary practice address
800 Sw 13Th Ave Portland OR 97205
Phone: (503) 221-0161
Fax: (503) 274-1697
Website:
Map and Directions
Authorized official contact:
Name: Clark, Dick
Phone: (503) 221-0161

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1053448795
LBN Legal business name The Portland Clinic Laboratory
DBA Doing business as
Authorized official Clark, Dick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Oct 26th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053448795 NPPES
Oregon Other 38D06235 CLIA

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