Organization
NORTHWEST PATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G PATTON M.D. (PRESIDENT)
(206) 365-5171
Entity
Organization
Contact information
Practice address
2111 N. NORTHGATE WAY, #201, SEATTLE, WA 98133-0160
(206) 365-5171
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518919018
NPI NUMBER
WA
05
—
7050792
—
WA
01
—
CT0239
MEDICARE RR
WA
Enumeration date
05/16/2006
Last updated
11/19/2007
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