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Organization

CHERRY PARK PATHOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROLAND EDWARD COOK M.D. (OWNER)
(503) 268-4804
Entity
Organization

Contact information

Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 268-4804
(503) 268-4801
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 268-4804
(503) 268-4801

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286357
OR
Enumeration date
04/03/2008
Last updated
06/09/2008
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