Active NPI
Northwest Pathologists, LLC
- Clinical Medical Laboratory
- Oregon City, OR
National Provider Identifier
1043478365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- MD00028601
- Legal business name
- NORTHWEST PATHOLOGISTS, LLC
- Practice address
- 1500 Division St
Oregon City, OR 97045-1527 - Phone
- (503) 657-6710
- NPI assigned
- May 23, 2008
- Last updated
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Harry, MD
- Title
- President
- Phone
- (503) 657-6710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MD00028601 | OR | Primary |
Addresses
Primary practice location
1500 Division St
Oregon City, OR 97045-1527
Mailing address
PO Box 4207
Portland, OR 97208-4207
Phone (503) 657-6710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130233 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Oregon City, OR
- NPI 1891972188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1043478365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4207",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084207",
"telephone_number": "503-657-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DIVISION ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451527",
"telephone_number": "503-657-6710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST PATHOLOGISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "HARRY",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-657-6710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OR",
"license": "MD00028601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130233",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
- John James Nishan
- Lloyd Garrett Noel, D.M.D.. MS
- Casey Dillon Norlin, DMD
- North Lake Physical Therapy and Rehabilitation Inc.
- Northland Hearing Centers, Inc (Willoughby Hearing Aid Centers)
- Northwest Primary Care Group, PC
- Northwest Rest, LLC (NW Rest)
- Northwest Treatment
- NS Hearing Network (Willoughby Hearing)
- Courtney Louise Nyman, QMHA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.