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PACIFIC PATHOLOGY ASSOCIATES, INC
NPI 1023263647
Pathology - Anatomic Pathology & Clinical Pathology in Salem, OR

Active since November 24, 2008CLIA Certified · 2 labs
665 WINTER ST SE, SALEM, OR 97301(503) 561-5350(419) 866-5453 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Pathology Associates, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC PATHOLOGY ASSOCIATES, INC (NPI 1023263647) is a healthcare organization registered as an anatomic pathology & clinical pathology in Salem, Oregon and active in the NPI registry since November 2008. The organization holds 2 active CLIA laboratory certificates and lists Clark Mcdonald, President, as its authorized official.

NPPES Registry Identity

NPI1023263647
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePACIFIC PATHOLOGY ASSOCIATES, INC
Location Address665 WINTER ST SESalem, OR 97301-3934
Mailing AddressPo Box 6930Portland, OR 97228-6930 · (503) 561-5350 · Fax (419) 866-5453
Phone(503) 561-5350
Fax(419) 866-5453
Organization SubpartNo
Authorized OfficialClark McdonaldPresident · (503) 561-5350
Enumeration DateNovember 24, 2008
Last NPPES UpdateJuly 5, 2013
✔ NPI 1023263647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 38D1091741 (OR)
665 WINTER ST SE, Salem, OR 97301
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0625543

Pacific Pathology Associates, Hospital · Salem, OR
Active · expires Dec 31, 2027
CLIA Number38D0625543
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Andrew W. Judd
Laboratory Phone(503) 561-5350
Laboratory LocationPacific Pathology Associates, Hospital665 Winter Street, Salem, OR 97301
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 38D1091741

Pacific Pathology Associates State Street Lab · Salem, OR
Active · expires Jan 17, 2027
CLIA Number38D1091741
Laboratory TypeIndependent
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorDr. Andrew W. Judd
Laboratory Phone(503) 561-5350
Laboratory LocationPacific Pathology Associates State Street Lab3300 State St, Salem, OR 97301
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES WILSON MD
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 561-5634
JIYOUN E KIM MD
Surgery
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 561-2448
DR. LAZENI KOULIBALI D.O.
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 561-5634
COURTNEY E BROZOVICH PAC
Physician Assistant
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 541-2448
JAMES ERNEST DEVORSS MD
Internal Medicine (Cardiovascular Disease)
665 WINTER ST SE, SALEM HOSPITAL
SALEM, OR 97301
Marion County (503) 399-0811
MICHAEL BARR M.D.
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 561-5634
SALEM HOSPITAL
General Acute Care Hospital (Children)
665 WINTER ST SE, FAMILY BIRTH CENTER 3RD FLOOR NEONATAL INTENSIVE CARE
SALEM, OR 97301
Marion County (503) 562-5660
DR. AUDREY T TRAINER D.O.
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Marion County (503) 561-5634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Pathology Associates, Inc's NPI number?

The NPI number for Pacific Pathology Associates, Inc is 1023263647. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Pacific Pathology Associates, Inc located?

Pacific Pathology Associates, Inc is located at 665 Winter St SE, Salem, OR 97301. The listed phone number is (503) 561-5350.

What is Pacific Pathology Associates, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Does Pacific Pathology Associates, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pacific Pathology Associates, Inc was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.