Individual provider Active NPI

Camilla T Allen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Vancouver, WA
National Provider Identifier
1225048762
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD00046681 Issued in WA
Practice address
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone
(360) 514-2116
NPI assigned
Aug 8, 2006
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD00046681 WA Primary

Addresses

Primary practice location

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Mailing address

Western Washington Pathology
315 Martin Luther King Jr. Way, Ms: 315-P4-Lab-WWP
Tacoma, WA 98405
Phone (253) 403-1043

Other practice location 1

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
Phone (206) 543-0065

Other practice location 2

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-4573

Other practice location 3

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 514-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100907001072 WA Practitioner - Pathology 5395869739 Reassigns benefits to 3 organizations
I20240813002213 OR Practitioner - Pathology 5395869739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Pathology Services CorpGroup PAC ID 4981693215, shared by 2 NPIs, 15 clinicians
PeacehealthGroup PAC ID 5890689293, 188 clinicians
PeacehealthGroup PAC ID 9739092065, 101 clinicians
Pacific Pathology Associates IncGroup PAC ID 1951399484, 16 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-6120

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

1660 Delware St
Longview, WA 98632-2310
Phone (360) 414-2800

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

665 Winter St SE
Building B 2ND FL
Salem, OR 97301-5014
Phone (503) 561-5350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00046681WAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince May 8, 2019 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Peacehealth CurrentSince May 8, 2019 Accepting new patients
Cascade Pathology Services, Corp Anatomic Pathology & Clinical Pathology CurrentSince Jan 6, 2025 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Pacific Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Dec 31, 2024 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Cascade Pathology Services, Corp Anatomic Pathology & Clinical Pathology CurrentSince Jan 6, 2025 Accepting new patients
Peacehealth CurrentSince May 8, 2019 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

665 Winter St SE
Bldg B
Salem, OR 97301
Phone (503) 561-5350

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: callen178394@direct.ohsu.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1225048762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTERN WASHINGTON PATHOLOGY",
            "address_2": "315 MARTIN LUTHER KING JR. WAY, MS: 315-P4-LAB-WWP",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-403-1043",
            "fax_number": "253-403-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200",
            "telephone_number": "360-514-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_2": "C212, Box 356340",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956340",
            "country_code": "US",
            "telephone_number": "206-543-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-4573",
            "fax_number": "253-403-1357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-514-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CAMILLA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00046681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.