Organization
PACIFIC PATHOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CHENEY (DIRECTOR OF OUT REACH SERVICES)
(503) 561-2228
Entity
Organization
Contact information
Practice address
3300 STATE ST, SALEM, OR 97301-5063
(503) 562-1123
(419) 866-5453
Mailing address
PO BOX 6930, PORTLAND, OR 97228-6930
(866) 587-6731
(419) 866-1804
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D1091741
OR
Other
Enumeration date
12/03/2009
Last updated
12/04/2009
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