Organization
CASCADE PATHOLOGY SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANAE BECK (BILLING OFFICE)
(503) 268-4802
Entity
Organization
Contact information
Practice address
10340 SW NIMBUS AVE, SUITE N-B, PORTLAND, OR 97223-4307
(503) 268-4802
(503) 268-4801
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(503) 268-4802
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041650
—
WA
Enumeration date
08/13/2008
Last updated
08/13/2008
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