Clearblue Labs

Primary specialty

Clinical & Laboratory Immunology (Internal Medicine) PhysicianTaxonomy code 207RI0001X

Legal business name

CLEARBLUE LABS

Practice address

13248 Rogers Rd
Lake Oswego, OR 97035-6752

Phone

(917) 539-9098

NPI assigned

Nov 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizaveta ReynoldsNPI 1497418651

Title

Director

Phone

(917) 539-9098

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizaveta Reynolds

  • Clinical & Laboratory Immunology (Internal Medicine) Physician
  • Lake Oswego, OR
  • NPI 1497418651
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1821753070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13248 ROGERS RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13248 ROGERS RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356752",
            "telephone_number": "917-539-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARBLUE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ELIZAVETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-539-9098"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cbluelabs.com",
            "affiliation": "N",
            "address_1": "13248 Rogers Rd",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970356752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clackamas County School District 7
• Joseph Allen Clark, LMT
• Kylie Clark
• Mackenzie Margaret Clark, ND
• Clawson & Ebel LLC
• Clearsky Counseling LLC
• Katherine Sullivan Cleveland
• Kevin Clifton
• Lorena Leslie Cline, PA-C
• Kayley Clothier

• Internal Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.