Organization
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER GRAHAM MD (PRESIDENT/OWNER)
(877) 509-4083
Entity
Organization
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(877) 425-8646
Mailing address
PO BOX 6989, PORTLAND, OR 97228-6989
(877) 509-4083
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
WA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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