PORTLAND TISSUE PROCESSING LABORATORY, INC.
NPI 1154454718
Clinical Medical Laboratory in Portland, OR

Active since March 13, 2007
5012 NE 42ND AVE, PORTLAND, OR 97218(503) 287-7721(503) 287-7728 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Portland Tissue Processing Laboratory, Inc. NPPES

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

PORTLAND TISSUE PROCESSING LABORATORY, INC. (NPI 1154454718) is a healthcare organization registered as a clinical medical laboratory in Portland, Oregon and active in the NPI registry since March 2007. The organization lists Jane Palomo Robertson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154454718
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePORTLAND TISSUE PROCESSING LABORATORY, INC.
Location Address5012 NE 42ND AVEPortland, OR 97218-1504
Mailing Address5012 Ne 42nd AvePortland, OR 97218-1504 · (503) 287-7721 · Fax (503) 287-7728
Fax(503) 287-7728
Organization SubpartNo
Authorized OfficialJane Palomo RobertsonBusiness Manager · (503) 287-7721
Enumeration DateMarch 13, 2007
Last NPPES UpdateFebruary 29, 2012
NPI 1154454718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OR · 38D1063205
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5012 NE 42ND AVE, Portland, OR 97218

Other Identifiers 10

Other001135000OR · Regence Bcbs
Other=========972180OR · Tricare Northwest
Other7108244WA · Wa - Dshs
Other125786WA · Dept. Of Labor & Industry
Medicare ID-Type Unspecified690005845OR · Railroad Medicare
Other300899101OR · Regence Hmo Oregon
OtherKE4600OR · Health Net
Other410930OH · Providence Health Plans
Medicaid131313OR
Medicare ID-Type UnspecifiedR102991OR · Medicare

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 Portland Tissue Processing Laboratory, Inc.'s NPI number?

The NPI number for Portland Tissue Processing Laboratory, Inc. is 1154454718. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Portland Tissue Processing Laboratory, Inc. located?

Portland Tissue Processing Laboratory, Inc. is located at 5012 NE 42nd Ave, Portland, OR 97218. The listed phone number is (503) 287-7721.

What is Portland Tissue Processing Laboratory, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Portland Tissue Processing Laboratory, Inc. was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.