Organization
KISHORE G. PATHIAL, M.D., P.C.
Active
Other names
Yamhill Valley Pulmonary & Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE GOPINATHAN PATHIAL M.D. (OWNER)
(503) 472-5163
Entity
Organization
Contact information
Practice address
2397 NE CUMULUS AVE., MCMINNVILLE, OR 97128-6255
(503) 472-5163
(503) 472-5163
Mailing address
2397 NE CUMULUS AVE., MCMINNVILLE, OR 97128-6255
(503) 472-5163
(503) 472-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
094006411N3 ANP-PP
OR
207R00000X
Internal Medicine Physician
695279-1
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
695279-1
OR
207RP1001X
Pulmonary Disease Physician
Primary
695279-1
OR
Other
Enumeration date
08/16/2007
Last updated
07/31/2013
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