Organization
LAB EXPRESS PORTLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T VILLAFANE JR. (PRESIDENT)
(503) 747-7427
Entity
Organization
Contact information
Practice address
10445 SW CANYON RD STE 113, BEAVERTON, OR 97005-1967
(503) 747-7427
(503) 747-7698
Mailing address
10445 SW CANYON RD STE 113, BEAVERTON, OR 97005-1967
(503) 747-7427
(503) 747-7698
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
10/11/2024
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