Kishore G. Pathial, M.d., P.c.

NPI 1003008665 - Registered Nurse - 163W00000X

NPI Details
NPI 1003008665
Enumeration Date 08/16/2007
Last Updated 07/31/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KISHORE GOPINATHAN KISHORE
Position OWNER
Phone (503) 472-5163
Fax (503) 472-5163
Practice Location
2397 NE CUMULUS AVE.
MCMINNVILLE OR, 97128-6255, US
Phone (503) 472-5163
Fax (503) 472-5163
Business Location
2397 NE CUMULUS AVE.
MCMINNVILLE OR, 97128-6255, US
Phone (503) 472-5163
Fax (503) 472-3320
Toxanomy
Taxonomy Code 163W00000X
License State Oregon
License Number 094006411N3 ANP-PP
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According to our database, Kishore G. Pathial, M.d., P.c. NPI is 1003008665, taxonomy code is 163W00000X and license number is 094006411N3 ANP-PP, license state is located at Oregon. Kishore G. Pathial, M.d., P.c. physically located at 2397 Ne Cumulus Ave., Mcminnville OR, 97128-6255. NPI Number 1033115704 has the healthcare provider type.

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1003008665 NPI number is provided on an as is basis without warranty of any kind. 1003008665 is maintained by the National Plan & Provider Enumeration System. The contents of Kishore G. Pathial, M.d., P.c. are for informational purposes only.