Columbia Gorge Pathology Associates, LLP

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

655735-87 Issued in OR

Legal business name

COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP

Practice address

1700 E 19TH St
Pathology
The Dalles, OR 97058-3317

Phone

(541) 296-7232

Fax

(541) 296-7613

NPI assigned

Nov 16, 2007

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vassil Kaimaktchiev, M.D.

Title

Partner

Phone

(541) 296-7232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1457532517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 19TH ST",
            "address_2": "PATHOLOGY",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583317",
            "telephone_number": "541-296-7232",
            "fax_number": "541-296-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 19TH ST",
            "address_2": "PATHOLOGY",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583317",
            "telephone_number": "541-296-7232",
            "fax_number": "541-296-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "KAIMAKTCHIEV",
        "authorized_official_first_name": "VASSIL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "541-296-7232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "655735-87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Gorge Education Service District
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• Columbia Gorge Radiology PC
• Columbia Gorge Surgery Center, LLC
• Columbia River Eye Clinic LLC
• Columbia River Medical Clinic, P.C.
• Columbia River Radiology, PC

• Anatomic Pathology & Clinical Pathology Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.