Individual
MISTY M PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 222-6915
(541) 222-6908
Mailing address
PO BOX 72059, SPRINGFIELD, OR 97475-0285
(541) 222-6915
(541) 222-6908
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M9940
ID
207ZC0500X
Cytopathology Physician
Primary
MD160393
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M9940
ID
Other
Enumeration date
06/06/2007
Last updated
12/16/2021
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