OrganizationActive
Vista Pathology Laboratory, LLC
NPI 1649544685 · Anatomic Pathology & Clinical Pathology Physician · Gold Beach, OR
Provider details
- NPI number
- 1649544685
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shari Brite, Administrator(541) 770-4559
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
94220 4th St
Gold Beach, OR 97444-7756
Phone: (800) 445-8085
Street-level locationGet directions
Mailing address
Po Box 1000
Medford, OR 97501-0071
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2012-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.