Active NPI
DK Pathology
- Clinical Medical Laboratory
- Tualatin, OR
National Provider Identifier
1366710782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 38D2032723
- Legal business name
- DK PATHOLOGY
- Practice address
- 6370 SW Borland Rd
Suite 206
Tualatin, OR 97062-9768 - Phone
- (503) 691-1122
- NPI assigned
- Dec 13, 2011
- Last updated
- Dec 13, 2011
- 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
- David Clark
- Title
- Manager
- Phone
- (503) 691-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 38D2032723 | OR | Primary |
Addresses
Primary practice location
6370 SW Borland Rd
Suite 206
Tualatin, OR 97062-9768
Mailing address
6370 SW Borland Rd
Suite 206
Tualatin, OR 97062-9768
Phone (503) 691-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38D2032723 | Other | OR | CLIA |
National Provider Directory
National Provider DirectoryLocations
6370 SW Borland Rd
Ste 206
Tualatin, OR 97062
Phone (503) 691-1122
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.
-
- Specialist
- Tualatin, OR
- NPI 1417956020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1366710782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6370 SW BORLAND RD",
"address_2": "SUITE 206",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629768",
"telephone_number": "503-691-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 SW BORLAND RD",
"address_2": "SUITE 206",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629768",
"telephone_number": "503-691-1122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DK PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "503-691-1122"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OR",
"license": "38D2032723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "38D2032723",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
- Dependable Care Residential Services LLC
- Janel Carmela Desalvo, MD
- Katherine Dillhoff, L.M.T.
- John David Dipaola, MD
- Katherine Mychal Dipietro, CNM
- DLH Occupational Therapy, LLC
- Ruby Ngoc Doan, PHARM.D.
- Kimberley D Dockery, PH.D., LMFT
- Donald R Olson, MD, Facs, LLC (Donald Olson, MD, Facs)
- Lynda Donnelly-Crites, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.