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EPIC IMAGING PC NPI 1700983319


NPI Information

NPI: 1700983319
Provider Name: EPIC IMAGING PC

Former Legal Business Name: EPIC IMAGING PC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 38D2010955

Address:
233 NE 102ND AVENUE
PORTLAND, OR
ZIP 97220
Phone: (503) 535-8300
Get Directions

EPIC IMAGING PC is a diagnostic radiology radiology in Portland, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EPIC IMAGING PC NPI is 1700983319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Epic Imaging Pc.

The provider's business location address is:

233 NE 102ND AVENUE
PORTLAND, OR
ZIP 97220-106
Phone: (503) 535-8300
Fax: (503) 535-8399

The provider's authorized official is Brenda Yeager .
The authorized official title is Administrative Assistant and has the following contact phone number (503) 535-7009.

The CLIA number assigned to this NPI record is 38D2010955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 9/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1213330MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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