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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVGENY I FEDOTOV

Active Organization

EVGENY I FEDOTOV is a Clinical Medical Laboratory organization located in PORTLAND, Oregon. NPI 1962412510 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · PORTLAND, OR

Registration Details

NPI Number
1962412510
Provider Type
Organization
NPI Issued
Aug 8, 2006 (20.003125911504 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
6629 NE 82ND AVE
SUITE 203
PORTLAND, OR, 972201346
Browse OR providers · Browse ZIP 97220
Phone
5037568159
Primary Specialty
Clinical Medical Laboratory
291U00000X

Other Clinical Medical Laboratory Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.