OrganizationActive
The Portland Clinic Laboratory
NPI 1053448795 · Clinical Medical Laboratory · Portland, OR
Provider details
- NPI number
- 1053448795
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Dick Clark, Ceo(503) 221-0161
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Sw 13th Ave
Portland, OR 97205
Phone: (503) 221-0161
Fax: (503) 274-1697
Street-level locationGet directions
Mailing address
800 Sw 13th Ave
Portland, OR 97205
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.