38D0964926 CLIA NUMBER - CASCADE WOMENS HEALTH PC

Laboratory Demographics

CLIA Number: 38D0964926

Facility Name: CASCADE WOMENS HEALTH PC

Facility Address:
1040 NW 22ND AVE SUITE 330
PORTLAND, OR
ZIP 97210
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Facility Phone Number: 503 274-9936

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1972515799

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	38D0964926
LAB Type	Physician Office
Facility Name	CASCADE WOMENS HEALTH PC
Street	1040 NW 22ND AVE SUITE 330
City	PORTLAND
State	OR
ZIP	97210
Phone	503 274-9936
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