north west clinical laboratory – Clinical Medical Laboratory, NPI 1962412510

north west clinical laboratory is a healthcare provider. based in Portland, Oregon. specializing in Clinical Medical Laboratory. The NPI Number for north west clinical laboratory is 1962412510

Main info

Organization
Name
north west clinical laboratory
NPI
1962412510
Phone
(503) 756-8159
Address
6629 NE 82ND AVE
Authorized Official
EVGENY I FEDOTOV PRESIDENT
Enumeration Date
8 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for north west clinical laboratory

  • 6629, Northeast 82nd Avenue, Sumner, Portland, Multnomah County, Oregon, 97220, United States

    SUITE 203

    PORTLAND, OR 972201346

    Phone: (503) 756-8159

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97220)

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Reviews

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Frequently asked questions

How is north west clinical laboratory identified in CMS data?
CMS-hosted NPPES data lists north west clinical laboratory with NPI 1962412510.
Is north west clinical laboratory listed as active for patients and plans?
The listing shows north west clinical laboratory as active in the NPI system.
What is north west clinical laboratory's specialty?
The listing groups north west clinical laboratory with Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
Where is north west clinical laboratory based?
north west clinical laboratory is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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