Evgeny I Fedotov
Evgeny I Fedotov is a Clinical Medical Laboratory in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
Practice location Address checks out
6629 NE 82nd Ave Ste 203Portland, OR 97220-1346
Phone: (503) 756-8159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X (OR) |
|---|
Record details
| NPI number | 1962412510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evgeny Fedotov — President · (503) 252-5042 |
| Other names | North West Clinical Laboratory |
| NPI enumerated | August 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6629 Ne 82nd Ave, Suite 203, Portland, OR 97220-1346 |
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