Organization
PACIFIC PATHOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK E MCDONALD MD (PRESIDENT)
(503) 561-5564
Entity
Organization
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 561-5350
(503) 561-4781
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
38D0625543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006465
—
OR
Enumeration date
12/13/2006
Last updated
12/10/2014
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