Organization
MEDSURG PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT MESA D.O. (PRESIDENT)
(503) 998-7436
Entity
Organization
Contact information
Practice address
10300 NE HANCOCK ST, PORTLAND, OR 97220-3831
(503) 268-4850
(503) 268-4801
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 998-7436
(503) 268-4801
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286932
—
OR
Enumeration date
04/16/2008
Last updated
01/20/2026
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