Organization
GRIDWORKS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLLIN ROSS PETERSON (CHIEF EXECUTIVE OFFICER)
(503) 427-9797
Entity
Organization
Contact information
Practice address
715 SW MORRISON ST STE 400, PORTLAND, OR 97205-3123
(503) 427-9797
Mailing address
715 SW MORRISON ST STE 400, PORTLAND, OR 97205-3123
(503) 427-9797
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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