Organization
CLEARBLUE LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZAVETA REYNOLDS (DIRECTOR)
(917) 539-9098
Entity
Organization
Contact information
Practice address
13248 ROGERS RD, LAKE OSWEGO, OR 97035-6752
(917) 539-9098
Mailing address
13248 ROGERS RD, LAKE OSWEGO, OR 97035-6752
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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