NPI 1003663600

Pathoc LLC

Organisation Medical Specialty Clinic/Center Portland, OR

Practice location

Address: 17020 SW Upper Boones Ferry Rd STE 102, Portland, OR 97224-7078
Phone: (818) 307-6322
Mailing address: 8319 SW Taylors Ferry Rd, Portland, OR 97223-8951

Authorised official

Name: Michelle Amir-Brownstein
Title: OT
Phone: (818) 307-6322

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1003663600
Entity type: Organization
NPI issued: 1 May 2024
Record last updated: 1 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.