EVGENY I FEDOTOV

Clinical Medical Laboratory

Active Organization
NPI: 1962412510

Practice Address

6629 NE 82ND AVE
SUITE 203
Portland, OR 97220

Phone: (503) 756-8159

Specialties

Specialty Code Primary License
Clinical Medical Laboratory 291U00000X Yes -

Frequently Asked Questions

NPI 1962412510 is the National Provider Identifier for EVGENY I FEDOTOV, a Clinical Medical Laboratory provider located in Portland, OR. This NPI was enumerated on August 8, 2006.

Quick Facts

NPI
1962412510
Type
Organization
Enumerated
Aug 8, 2006
Last Updated
Aug 22, 2020

Nearby Providers