Khalil Yoseph Helou, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Lagrande, OR
NPI 1013973767 · NPPES record last updated Nov 21, 2007
Key facts
- NPI
- 1013973767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- MD13007 (OR)
- Practice address
- 700 Sunset Drive
Suite a
Lagrande, OR 97850 - Phone
- (541) 963-8911
- Fax
- (541) 962-7110
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13007 | OR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Mountain Pathology Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD13007 | OR | Yes |
Addresses
Primary practice location
700 Sunset Drive
Suite a
Lagrande, OR 97850
Mailing address
PO Box 1049
Pendleton, OR 97801-0050
Phone (541) 966-1184
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012877 | Medicaid | OR |
Other providers in Lagrande, OR
- Center for Human Development, Inc.
- Hanks Chiropractic PC
- Stephen Koza
- Genevieve Elizabeth Ludwig
- James Michael Matthews
- Anne Wiltsie Vaniea
All providers in Lagrande, OR · Anatomic Pathology & Clinical Pathology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.