Organization
PACIFIC PATHOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK MCDONALD (PRESIDENT)
(503) 561-5350
Entity
Organization
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 561-5350
(419) 866-5453
Mailing address
PO BOX 6930, PORTLAND, OR 97228-6930
(503) 561-5350
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
38D1091741
OR
Other
Enumeration date
11/24/2008
Last updated
07/05/2013
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