# PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043518400
- **Authorized official:** DR. ROGER GRAHAM MD (PRESIDENT/OWNER)
- **Authorized official phone:** (877) 509-4083

## Contact information

- **Practice address:** 1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
- **Practice address phone:** (877) 425-8646
- **Mailing address:** PO BOX 6989, PORTLAND, OR 97228-6989
- **Mailing address phone:** (877) 509-4083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | WA | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011