38D2107935 CLIA NUMBER - NW NATUROPATHIC MEDICINE

Laboratory Demographics

CLIA Number: 38D2107935

Facility Name: NW NATUROPATHIC MEDICINE

Facility Address:
7000 SW HAMPTON ST STE 130
TIGARD, OR
ZIP 97223
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Facility Phone Number: 503 639-3777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306282363

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	38D2107935
LAB Type	Physician Office
Facility Name	NW NATUROPATHIC MEDICINE
Street	7000 SW HAMPTON ST STE 130
City	TIGARD
State	OR
ZIP	97223
Phone	503 639-3777
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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