Organization
WILLAMETTE VALLEY TOXICOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANNY CRUZ (OWNER)
(541) 760-4775
Entity
Organization
Contact information
Practice address
545 SW 2ND ST, SUITE 201, CORVALLIS, OR 97333-4466
(541) 760-4775
Mailing address
545 SW 2ND ST, SUITE 201, CORVALLIS, OR 97333-4466
(541) 760-4775
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
11/16/2016
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