Organization
MOLECULARMD CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN E DUNLAP (SVP, CFO)
(503) 459-4974
Entity
Organization
Contact information
Practice address
1341 SW CUSTER DR, PORTLAND, OR 97219
(503) 459-4974
(503) 459-4976
Mailing address
1341 SW CUSTER DR, PORTLAND, OR 97219-2750
(503) 459-4974
(503) 459-4976
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276220
—
OR
Enumeration date
03/01/2007
Last updated
09/14/2018
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