Organization Active NPI

Northwest Pathologists, LLC

  • Clinical Medical Laboratory
  • Oregon City, OR
National Provider Identifier
1043478365
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MD00028601 Issued in OR
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raymond Harry, MDNPI 1891972188
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130233MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.