| Organization Name: | COL NORTHWEST LLC |
| NPI Number: | 1023065307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARCY E. ORIN (DIRECTOR) |
| Mailing Address: | 9200 Se 91st Ave Suite 330 Happy Valley |
| State: | OR US |
| Postal Code: | 970863756 |
| Phone Number: | 5037747700 |
| Fax Number: | 5037747701 |
| NPI Enumeration Date: | 05/30/2006 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |