| Cta Pathology | |
|
9750 Sw Nimbus Ave Beaverton OR 97008-7172 | |
| (503) 906-7300 | |
| Not Available |
| Full Name | Cta Pathology |
|---|---|
| Speciality | Dermatology |
| Location | 9750 Sw Nimbus Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Curtis Troy Thompson (MEMBER) |
| Authorized Official Contact | 5039067300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cta Pathology Po Box 230457 Tigard OR 97281-0457 Ph: (503) 245-8220 | Cta Pathology 9750 Sw Nimbus Ave Beaverton OR 97008-7172 Ph: (503) 906-7300 |
| NPI Number | 1861533481 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 8921033945 |
|---|---|
| Medicare Enrollment ID | O20050928001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861533481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | (* (Not Available)) | Primary |
| Provider Name | Curtis T Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457408601 PECOS PAC ID: 5294620837 Enrollment ID: I20041025000488 |
| Provider Name | Stephen E Pool |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407997596 PECOS PAC ID: 0547280802 Enrollment ID: I20071030000050 |
| Provider Name | Jessica A Spies |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487635371 PECOS PAC ID: 6406756725 Enrollment ID: I20080908000010 |
| Provider Name | James A Ramirez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003867946 PECOS PAC ID: 4981615499 Enrollment ID: I20190913001973 |
| Provider Name | Brian L Schapiro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710956123 PECOS PAC ID: 4789604513 Enrollment ID: I20191016000961 |
| Provider Name | Jessica Marie Ghaferi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003940966 PECOS PAC ID: 7012195597 Enrollment ID: I20200131002271 |
| Provider Name | Tyler Drake Menge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922461235 PECOS PAC ID: 2668768789 Enrollment ID: I20210728002491 |
| Provider Name | Brent Martin |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1538336615 PECOS PAC ID: 3971844846 Enrollment ID: I20240205004209 |
| Provider Name | Todd T Kobayashi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871582023 PECOS PAC ID: 6800072588 Enrollment ID: I20240208003337 |
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