38D0622101 CLIA NUMBER - DAVID SELBY DO

Laboratory Demographics

CLIA Number: 38D0622101

Facility Name: DAVID SELBY DO

Facility Address:
16463 BOONES FERRY RD #100
LAKE OSWEGO, OR
ZIP 97035
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Facility Phone Number: 503 635-1350

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114032836

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	38D0622101
LAB Type	Physician Office
Facility Name	DAVID SELBY DO
Street	16463 BOONES FERRY RD #100
City	LAKE OSWEGO
State	OR
ZIP	97035
Phone	503 635-1350
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024