Organization
KISHORE G PATHIAL MD PC
Active
Other names
Yamhill Valley Pulmonary and Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE G PATHIAL MD (OWNER/PHYSICIAN)
(503) 472-5163
Entity
Organization
Contact information
Practice address
2397 NE CUMULUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-5163
(503) 472-3320
Mailing address
2397 NE CUMULUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-5163
(503) 472-3320
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
6952791
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055884
—
OR
Enumeration date
10/03/2008
Last updated
02/13/2012
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