Portland Medical Imaging LLC

NPI #1932162906 in Portland, Oregon

Provider Information

NPI Number: 1932162906
Entity Type: Organization
Organization Name: Portland Medical Imaging LLC
Primary Specialty: Radiology - Body Imaging
Enumeration Date: Apr 10, 2006
Last Updated: Oct 1, 2007

Practice Location

Address: 10538 SE WASHINGTON ST
City: Portland
State: Oregon
ZIP Code: 97216-2809
Phone: (503) 215-8900

Authorized Official

Name: RONALD KIZZIAR
Title: ADMINISTRATIVE DIRECTOR
Phone: (503) 215-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Neuroradiology — Neuroradiology	2085N0700X
Radiology - Pediatric Radiology — Pediatric Radiology	2085P0229X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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