Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Portland Tissue Processing Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1154454718

Portland Tissue Processing Laboratory, Inc is a Clinical Medical Laboratory in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5012 NE 42nd Ave
Portland, OR 97218-1504
Phone: (503) 287-7721
Fax: (503) 287-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 38D1063205 (OR)

Record details

NPI number1154454718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Robertson — Business Manager · (503) 287-7721
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 29, 2012
Mailing address5012 Ne 42nd Ave, Portland, OR 97218-1504

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