Pathoc LLC
Clinic/Center, Medical Specialty in Portland, OR. Organization (NPI-2).
NPI number1003663600
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1003663600
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathoc LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2024
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Other names
- Pathoc Pelvic Health (Doing Business As)
Practice location
17020 Sw Upper Boones Ferry Rd Ste 102Portland, OR 97224-7078
Phone 818-307-6322
Mailing address
8319 Sw Taylors Ferry RdPortland, OR 97223-8951
Phone 818-307-6322
Authorized official
Michelle Amir-Brownstein
Ot
8183076322
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