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PORTLAND TISSUE PROCESSING LABORATORY INC. NPI 1154454718


NPI Information

NPI: 1154454718
Provider Name: PORTLAND TISSUE PROCESSING LABORATORY, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
5012 NE 42ND AVE
PORTLAND, OR
ZIP 97218
Phone: (503) 287-7721
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PORTLAND TISSUE PROCESSING LABORATORY, INC. is a clinical medical laboratory in Portland, OR. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PORTLAND TISSUE PROCESSING LABORATORY, INC. NPI is 1154454718. The provider is registered as an organization entity type.

The provider's business location address is:

5012 NE 42ND AVE
PORTLAND, OR
ZIP 97218-504
Phone: (503) 287-7721
Fax: (503) 287-7728

The provider's authorized official is Jane Palomo Robertson .
The authorized official title is Business Manager and has the following contact phone number (503) 287-7721.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 2/29/2012.


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 Laboratory38D1063205OREGONYes

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
1001135000OTHEROREGONREGENCE BCBS
2=========972180OTHEROREGONTRICARE NORTHWEST
37108244OTHERWASHINGTONWA - DSHS
4125786OTHERWASHINGTONDEPT. OF LABOR & INDUSTRY
5690005845MEDICARE ID-TYPE UNSPECIFIEDOREGONRAILROAD MEDICARE
6300899101OTHEROREGONREGENCE HMO OREGON
7KE4600OTHEROREGONHEALTH NET
8410930OTHEROHIOPROVIDENCE HEALTH PLANS
9131313MEDICAIDOREGON
10R102991MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE

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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