# WESTERN WASHINGTON PATHOLOGY PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pathology Associates of Tacoma PS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073650610
- **Authorized official:** DR. ROB ROY ROTH M.D. (SECRETARY)
- **Authorized official phone:** (253) 403-1043

## Contact information

- **Practice address:** 315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
- **Practice address phone:** (253) 403-1043
- **Practice address fax:** (253) 403-1357
- **Mailing address:** 315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
- **Mailing address phone:** (253) 403-1043
- **Mailing address fax:** (253) 403-1357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 601053749 | WA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/25/2008