Organization
COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VASSIL KAIMAKTCHIEV M.D. (PARTNER)
(541) 296-7232
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, PATHOLOGY, THE DALLES, OR 97058-3317
(541) 296-7232
(541) 296-7613
Mailing address
1700 E 19TH ST, PATHOLOGY, THE DALLES, OR 97058-3317
(541) 296-7232
(541) 296-7613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
655735-87
OR
Other
Enumeration date
11/16/2007
Last updated
04/10/2012
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