# CLEARBLUE LABS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821753070
- **Authorized official:** ELIZAVETA REYNOLDS (DIRECTOR)
- **Authorized official phone:** (917) 539-9098

## Contact information

- **Practice address:** 13248 ROGERS RD, LAKE OSWEGO, OR 97035-6752
- **Practice address phone:** (917) 539-9098
- **Mailing address:** 13248 ROGERS RD, LAKE OSWEGO, OR 97035-6752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | Yes |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/03/2021