38D2025345 CLIA NUMBER - OREGON OCCUPATIONAL MEDICINE

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Laboratory Demographics

CLIA Number: 38D2025345

Facility Name: OREGON OCCUPATIONAL MEDICINE

Facility Address:
1200 NE 48TH AVE, SUITE 1000
HILLSBORO, OR
ZIP 97124
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Facility Phone Number: 503 563-5382

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215361928

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2025345
LAB Type	Physician Office
Facility Name	OREGON OCCUPATIONAL MEDICINE
Street	1200 NE 48TH AVE, SUITE 1000
City	HILLSBORO
State	OR
ZIP	97124
Phone	503 563-5382
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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