Organization
CASCADE CYTOLOGY REFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS MILLAN M.D. (PRESIDENT)
(503) 268-4850
Entity
Organization
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 413-5049
(503) 413-5054
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 268-4850
(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
—
129127
—
OR
Enumeration date
02/16/2007
Last updated
03/17/2017
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