Organization
MEDSURG PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT MESA D.O. (PRESIDENT)
(503) 268-4850
Entity
Organization
Contact information
Practice address
10300 NE HANCOCK ST, PORTLAND, OR 97220-3831
(503) 268-4850
(503) 268-4801
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 268-4850
(503) 268-4801
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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