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PACIFIC PATHOLOGY ASSOCIATES INC. NPI 1205997889


NPI Information

NPI: 1205997889
Provider Name: PACIFIC PATHOLOGY ASSOCIATES, INC.
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 38D1047418

Address:
665 WINTER ST SE
SALEM, OR
ZIP 97301
Phone: (503) 561-5350
Get Directions

PACIFIC PATHOLOGY ASSOCIATES, INC. is an anatomic pathology and clinical pathology pathology in Salem, OR. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PACIFIC PATHOLOGY ASSOCIATES, INC. NPI is 1205997889. The provider is registered as an organization entity type.

The provider's business location address is:

665 WINTER ST SE
SALEM, OR
ZIP 97301-934
Phone: (503) 561-5350
Fax: (503) 561-4781

The provider's authorized official is Clark E Mcdonald .
The authorized official title is President and has the following contact phone number (503) 561-5564.

The CLIA number assigned to this NPI record is 38D1047418 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory38D0625543OREGONNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1006465MEDICAIDOREGON
20000WCJWBMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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