KISHORE G. PATHIAL, M.D., P.C.


Address: 2397 Ne Cumulus Ave., Mcminnville, OR 97128-6255
Phone: 5034725163

KISHORE G. PATHIAL, M.D., P.C. (NPI# 1003008665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003008665
Entity Type Organization
Organization Name KISHORE G. PATHIAL, M.D., P.C.
Other Organization Name YAMHILL VALLEY PULMONARY & SLEEP CENTER
Practice Address 2397 Ne Cumulus Ave.
Mcminnville
OR 97128-6255
Practice Telephone 5034725163
Practice Fax Number 5034725163
Mailing Telephone 5034725163
Mailing Fax Number 5034723320
Enumeration Date 2007-08-16
Last Update Date 2013-07-31
Authorized Official Name DR. KISHORE GOPINATHAN PATHIAL (OWNER)
Authorized Official Telephone 5034725163
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 094006411N3 ANP- OR Nursing Service Providers
N 207R00000X Internal Medicine 695279-1 OR Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
695279-1 OR Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
695279-1 OR Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Yamhill Valley Pulmonary & Sleep Center Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names KISHORE G. PATHIAL, M.D., P.C. 2397 Ne Cumulus Ave, Mcminnville, OR 97128

Office Location

Street Address 2397 NE CUMULUS AVE.
City MCMINNVILLE
State OR
Zip Code 97128-6255

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1619441094 Kami Naber Counselor 672 Ne Evans St, Mcminnville, OR 97128 2019-01-18
1720552102 Lauren Nicole Abshire Counselor 672 Ne Evans Street, Mcminnville, OR 97128 2019-01-18
1366933376 Maria G Guerrero Specialist 325 Nw Fenton St, Mcminnville, OR 97128 2018-05-24
1235628819 Julie Luedtke Health Educator 300 Sw Hill Road South, Mcminnville, OR 97128 2018-05-09
1356838817 Jacqueline Ann Hausman Massage Therapist 119 Ne 3rd St., Mcminnville, OR 97128 2018-04-19
1366960007 Alexis R Burke Counselor 625 Ne Galloway, Mcminnville, OR 97128 2017-09-01
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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NPI Name Taxonomy Address Enumeration
1073073250 Good Samaritan Hospital Corvallis Internal Medicine 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 2019-03-22
1730672411 Lawrence Edward Permen Internal Medicine 25139 Allure Ave, Veneta, OR 97487-8713 2018-06-07
1053754069 Dr Bob Health Centre Internal Medicine 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 2013-04-09
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
1750648432 Robert Dreisin Internal Medicine 6350 Sw Burlingame Ave, Portland, OR 97239-2635 2012-04-18
1982984142 Frank Nelson Turner Internal Medicine 2260 Marcola Rd, Springfield, OR 97477-2594 2011-08-19
1619209756 Ana Maria Ponea Internal Medicine 364 Se 8th Ave Ste 301a, Hillsboro, OR 97123-5273 2010-01-30
1962645549 Elham Karamooz Internal Medicine Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-04-13
1912149790 Samuel R. Glickman Internal Medicine 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 2009-03-25
1831368554 Ohsu Medical Group Internal Medicine 2115 Sw River Pkwy, Portland, OR 97201-8024 2008-02-27
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Competitor

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City MCMINNVILLE
Zip Code 97128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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