Organization
NORTHWEST PATHOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HARRY MD (PRESIDENT)
(503) 657-6710
Entity
Organization
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 657-6710
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 657-6710
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD00028601
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130233
—
OR
Enumeration date
05/23/2008
Last updated
11/29/2010
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