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

NPI Status: Active since November 24, 2008

Contact Information

665 WINTER ST SE
SALEM, OR
ZIP 97301
Phone: (503) 561-5350
Fax: (419) 866-5453

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 38D1075583
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-05-2026

About PACIFIC PATHOLOGY ASSOCIATES, INC

This page provides the complete NPI Profile along with additional information for Pacific Pathology Associates, Inc, a provider established in Salem, Oregon operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1023263647 assigned on November 2008. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Clark Mcdonald (President)

NPI
1023263647
Provider Name
PACIFIC PATHOLOGY ASSOCIATES, INC
Entity Type
Organization
Location Address
665 WINTER ST SE SALEM, OR 97301
Location Phone
(503) 561-5350
Location Fax
(419) 866-5453
Mailing Address
PO BOX 6930 PORTLAND, OR 97228
Mailing Phone
(503) 561-5350
Mailing Fax
(419) 866-5453
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-24-2008
Last Update Date
07-05-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

38D1091741 (OR)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLARK MCDONALD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 561-5350

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D1075583
Facility Type
Physician Office
Certificate Effective Date
October 06, 2024
Certificate Expiration Date
October 05, 2026
Laboratory Director
SARA V. SMITH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pacific Pathology Associates, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023263647, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 4 + 6 + 6 + 6 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023263647.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Emergency Medicine
665 WINTER ST SE
SALEM, OR 97301
Hospitalist
665 WINTER ST SE
SALEM, OR 97301
Internal Medicine
665 WINTER ST SE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023263647, enumerated as an "organization" on November 24, 2008.

The provider is located at 665 WINTER ST SE SALEM, OR 97301 and the phone number is (503) 561-5350.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.