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Contact Information

BLUE MOUNTAIN PATHOLOGY INC
434 SE 3RD STREET
PENDLETON, OR97801
 Phone: 541-966-1184
 Fax: 541-278-9365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN PATHOLOGY INC · (Female)

NPI Number 1356386684
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2006
Last updated 12/02/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 2618
  • OR Medicaid 028733
  • WA Medicaid 7032782
  • Other CN2826 RR MEDICARE
  • OR Other 083931000 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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