PACIFIC PATHOLOGY ASSOCIATES, INC
Medical Laboratory at State St, Salem, OR

License number
Oregon 38D1091741
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MS. MICHELLE CHENEY
Title: DIRECTOR OF OUT REACH SERVICES
Phone: (503) 561-2228
Address
Address 2
3300 State St, Salem, OR 97301
PO Box 6930, Portland, OR 97228
National Provider ID: 1811225865
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PACIFIC PATHOLOGY ASSOCIATES, INC

Salem, OR

Registration:
Aug 15, 1985
Addresses:
665 Winter St SE, Salem, OR 97301 (Physical)
PO Box 5342, Salem, OR 97304 (Mailing)
State ID:
21226618
Business type:
DOMESTIC BUSINESS CORPORATION
Agent:
Lawrence Mkonick,665 Winter St SE, Salem, OR 97301 (Physical)

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