Organization
UNIVERSITY ANDROLOGY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CRAWFORD (CHIEF FINANCIAL OFFICER)
(503) 494-9616
Entity
Organization
Contact information
Practice address
3303 SW BOND AVE., CH 10F, PORTLAND, OR 97239
(503) 418-3712
Mailing address
3303 SW BOND AVE., CH 10F, PORTLAND, OR 97239
(503) 418-3712
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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