Organization
WASHINGTON COUNTY PATHOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA DIANNE STOVALL URSTADT MD (WCP PRESIDENT)
(503) 681-1147
Entity
Organization
Contact information
Practice address
335 SE 8TH AVENUE, WASHINGTON COUNTY PATHOLOGISTS PC, HILLSBORO, OR 97123-4248
(503) 681-1147
(503) 681-1903
Mailing address
335 SE 8TH AVENUE, WASHINGTON COUNTY PATHOLOGISTS PC, HILLSBORO, OR 97123-4248
(503) 681-1147
(503) 681-1903
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053756
—
OR
Enumeration date
04/04/2007
Last updated
04/30/2008
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