38D1031129 CLIA NUMBER - OREGON CLINIC ENDOSCOPY CENTER-WEST, THE

Laboratory Demographics

CLIA Number: 38D1031129

Facility Name: OREGON CLINIC ENDOSCOPY CENTER-WEST, THE

Facility Address:
9701 SW BARNES RD SUITE 310
PORTLAND, OR
ZIP 97225
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Facility Phone Number: 503 517-9639

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1215586102

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	38D1031129
LAB Type	Ambulatory Surgery Center
Facility Name	OREGON CLINIC ENDOSCOPY CENTER-WEST, THE
Street	9701 SW BARNES RD SUITE 310
City	PORTLAND
State	OR
ZIP	97225
Phone	503 517-9639
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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